IP Library Granted Patent US 12,336,990
Granted Patent B2
US 12,336,990 · App. 18/937,891 · Granted Jun 24, 2025

Treatment of prostate cancer

Inventors: Vijaykumar Reddy Rajasekhar (Apple Valley, CA); Brendan Mark Johnson (Chapel Hill, NC); David B. Maclean (Cambridge, MA); Lynn Seely (San Mateo, CA); Paul N. Mudd, Jr. (Cary, NC); Hélène M. Faessel (Cambridge, MA)
Assignees: Sumitomo Pharma Switzerland GmbH; Takeda Pharmaceutical Company Limited
A61K31/501A61K9/0053A61K31/4166A61K31/513A61P35/00
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Quick Facts
Patent No.
US 12,336,990
App. No.
18/937,891
Granted
Jun 24, 2025
Kind
B2
Abstract

Methods for treating prostate cancer, including advanced prostate cancer, in a subject in need thereof, include administering once-daily to the subject, at least 80 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea, or a corresponding amount of a pharmaceutically acceptable salt thereof. Another method includes: administering once-daily to the subject in need thereof, an oral load dose formulation having from 240 mg to 480 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea, or a corresponding amount of a pharmaceutically acceptable salt thereof, and thereafter administering once-daily to the subject, an oral maintenance dose formulation having 80 mg to 160 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea, or a corresponding amount of a pharmaceutically acceptable salt thereof.

Claims (46)

1. A method of treating prostate cancer in a subject in need thereof, the method comprising:

(i) orally administering a loading dose of 360 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject; and

(ii) about one day after administering the loading dose, orally administering a 120 mg dose of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject once a day;

wherein the subject's prostate cancer is treated.

2. The method of claim 1 , wherein profound castration is achieved.

3. The method of claim 2 , wherein the profound castration is achieved within 24 to 48 hours after administration of the loading dose.

4. The method of claim 2 , wherein the profound castration is achieved within about 4 consecutive weeks of treatment after administration of the loading dose.

5. The method of claim 4 , wherein the profound castration is sustained through at least 24 consecutive weeks of treatment after administration of the loading dose.

6. The method of claim 4 , wherein the profound castration is sustained through at least 36 consecutive weeks of treatment after administration of the loading dose.

7. The method of claim 1 , wherein the prostate cancer is advanced prostate cancer.

8. The method of claim 1 , wherein the once a day administration of the 120 mg dose is suspended.

9. The method of claim 8 , wherein the once a day administration of the 120 mg dose is suspended for a period of at least 4 weeks.

10. The method of claim 8 , wherein the once a day administration of the 120 mg dose is suspended for a period of at least 8 weeks.

11. The method of claim 8 , wherein the suspension of the once a day 120 mg dose results in a return to baseline testosterone level of the patient prior to treatment.

12. The method of claim 8 , wherein the suspension of the once a day 120 mg dose results in a testosterone level of at least about 280 ng/dL.

13. The method of claim 8 , wherein administration of the once a day 120 mg dose is resumed after it has been suspended.

14. The method of 13 , further comprising orally administering a loading dose of 360 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea about 1 day prior to resuming administration of the once a day 120 mg dose of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea.

15. A method of treating prostate cancer in a subject in need thereof, the method comprising:

reducing FSH levels in the subject by

(i) orally administering a loading dose of 360 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno [2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject; and

(ii) about one day after administering the loading dose, orally administering a 120 mg dose of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject once a day;

wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL by about 24 consecutive weeks of treatment after administration of the loading dose.

16. The method of claim 15 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL by about 12 consecutive weeks of treatment after administration of the loading dose.

17. The method of claim 16 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL by about 4 consecutive weeks of treatment after administration of the loading dose.

18. The method of claim 16 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL through at least 36 weeks after administration of the loading dose.

19. The method of claim 16 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL through at least 48 weeks after administration of the loading dose.

20. The method of claim 15 , wherein the prostate cancer is advanced prostate cancer.

21. A method of treating prostate cancer in a subject in need thereof, the method comprising:

reducing FSH and LH levels in the subject by

(i) orally administering a loading dose of 360 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d] pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject; and

(ii) about one day after administering the loading dose, orally administering a 120 mg dose of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject once a day;

wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL and the subject's serum LH level is less than or equal to about 2.0 mIU/mL by about 24 consecutive weeks of treatment after administration of the loading dose.

22. The method of claim 21 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL by about 4 consecutive weeks of treatment after administration of the loading dose.

23. The method of claim 22 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL through at least 12 weeks after administration of the loading dose.

24. The method of claim 21 , wherein the prostate cancer is advanced prostate cancer.

25. A method of treating prostate cancer in a subject in need thereof, the method comprising:

reducing FSH, LH, and testosterone levels in the subject by

(i) orally administering a loading dose of 360 mg of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d] pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject; and

(ii) about one day after administering the loading dose, orally administering a 120 mg dose of N-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxy-3-pyridazinyl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl)phenyl)-N′-methoxyurea to the subject once a day;

wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL and the subject's serum LH level is less than or equal to about 2.0 mIU/mL by about 24 consecutive weeks of treatment after administration of the loading dose; and

wherein profound castration is achieved by about 4 consecutive weeks of treatment after administration of the loading dose.

26. The method of claim 25 , wherein the prostate cancer is advanced prostate cancer.

27. The method of claim 25 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL by about 12 consecutive weeks of treatment after administration of the loading dose.

28. The method of claim 27 , wherein the subject's serum FSH level is less than or equal to about 2.4 mIU/mL through at least 24 weeks after administration of the loading dose.

29. The method of claim 27 , wherein the profound castration is sustained through at least 24 consecutive weeks of treatment after administration of the loading dose.

30. The method of claim 27 , wherein the profound castration is sustained through at least 48 consecutive weeks of treatment after administration of the loading dose.

Assignments (14)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 8, 2025
From: SUMITOMO PHARMA SWITZERLAND GMBH
To: SUMITOMO PHARMA CO., LTD.
Reel/Frame 071971/0600 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: MUDD, PAUL N., JR.
To: ROIVANT SCIENCES, INC.
Reel/Frame 070082/0391 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: MACLEAN, DAVID
To: MILLENNIUM PHARMACEUTICALS, INC.
Reel/Frame 070082/0382 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: ROIVANT SCIENCES, INC.
To: MYOVANT SCIENCES GMBH
Reel/Frame 070082/0396 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: SEELY, LYNN; RAJASEKHAR, VIJAYKUMAR REDDY
To: MYOVANT SCIENCES, INC.
Reel/Frame 070082/0368 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: MILLENNIUM PHARMACEUTICALS, INC.
To: TAKEDA PHARMACEUTICAL COMPANY LIMITED
Reel/Frame 070082/0387 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: MYOVANT SCIENCES, INC.
To: MYOVANT SCIENCES GMBH
Reel/Frame 070082/0601 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: TAKEDA DEVELOPMENT CENTER AMERICAS, INC.
To: TAKEDA PHARMACEUTICAL COMPANY LIMITED
Reel/Frame 070082/0764 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: SEELY, LYNN; RAJASEKHAR, VIJAYKUMAR REDDY
To: MYOVANT SCIENCES, INC.
Reel/Frame 070082/0550 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: FAESSEL, HÉLÈNE M.
To: TAKEDA DEVELOPMENT CENTER AMERICAS, INC.
Reel/Frame 070082/0400 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: MYOVANT SCIENCES, INC.
To: MYOVANT SCIENCES GMBH
Reel/Frame 070082/0731 →
CHANGE OF NAME Recorded Feb 1, 2025
From: MYOVANT SCIENCES GMBH
To: SUMITOMO PHARMA SWITZERLAND GMBH
Reel/Frame 070082/0751 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: JOHNSON, BRENDAN MARK
To: ROIVANT SCIENCES, INC.
Reel/Frame 070082/0710 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 1, 2025
From: ROIVANT SCIENCES, INC.
To: MYOVANT SCIENCES GMBH
Reel/Frame 070082/0738 →
Continuity (9)
Continuation 18792752 · Aug 2, 2024
Continuation 17866203 · Jul 15, 2022
Continuation 16998900 · Aug 20, 2020
Continuation 16563161 · Sep 6, 2019
Continuation 16369729 · Mar 29, 2019
Continuation PCTEP2017074849 · Sep 29, 2017
Provisional Application 62402004 · Sep 30, 2016
Provisional Application 62402150 · Sep 30, 2016
Related Publication 20250057839A1 · Feb 20, 2025
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