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TW201625637A - Administration regime for aminoalcohol substituted 2,3-dihydroimidazo[1,2-C]quinazoline derivatives - Google Patents

Administration regime for aminoalcohol substituted 2,3-dihydroimidazo[1,2-C]quinazoline derivatives Download PDF

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TW201625637A
TW201625637A TW104140600A TW104140600A TW201625637A TW 201625637 A TW201625637 A TW 201625637A TW 104140600 A TW104140600 A TW 104140600A TW 104140600 A TW104140600 A TW 104140600A TW 201625637 A TW201625637 A TW 201625637A
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尼蘇 劉
法蘭茲卡 席格
羅伯特 佛瑞克
奧勒福 多爾
銳 維納西亞
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拜耳製藥公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

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Abstract

A compound of formula (I)as defined herein, for use in the prophylaxis or treatment of a hyper-proliferative and/or angiogenesis disorder, wherein in each administration cycle the compound of formula (I) is administered for a period of one to five days, followed by a period of three to six days in which the compound of formula (I) is not administered or placebo is administered.

Description

經胺醇取代之2,3-二氫咪唑[1,2-C]喹唑啉衍生物之給藥方案 Dosing regimen of 2,3-dihydroimidazo[1,2-c]quinazoline derivatives substituted with amine alcohols

本發明係關於式(I)之PI3K抑制劑在根據間歇投與(投藥)方案(regimen,regime)治療過度增殖病症及與血管生成相關之疾病中之用途。 The present invention relates to the use of a PI3K inhibitor of formula (I) for the treatment of hyperproliferative disorders and diseases associated with angiogenesis according to a regimen of administration (regimen).

使用PI3K抑制劑係基於PI3K激酶在癌細胞中關鍵信號傳導路徑中之作用之原理。 The use of PI3K inhibitors is based on the principle of the role of PI3K kinase in key signaling pathways in cancer cells.

脂質激酶之PI3K家族生成結合並活化各種細胞靶標之3’-磷酸肌醇,從而起始寬範圍之信號轉導級聯(Vanhaesebroeck等人,2001;Toker,2002;Pendaries等人,2003;Downes等人,2005)。該等級聯最終誘導多種細胞過程之改變,包括細胞增殖、細胞存活、分化、囊泡運輸、遷移及趨化作用。 The PI3K family of lipid kinases binds to and activates various cellular targets of 3'-phosphoinositol, thereby initiating a broad range of signal transduction cascades (Vanhaesebroeck et al, 2001; Toker, 2002; Pendaries et al, 2003; Downes et al. People, 2005). This grading ultimately induces changes in a variety of cellular processes, including cell proliferation, cell survival, differentiation, vesicle trafficking, migration, and chemotaxis.

PI3K可基於結構及受質偏好二者之差異分成三個不同的類別。儘管II類PI3K家族成員與腫瘤生長之調控有關(Brown及Shepherd,2001;Traer等人,2006),但大量研究一直集中在I類酶及其在癌症中之作用方面(Stauffer等人,2005;Stephens等人,2005;Vivanco及Sawyers,2002;Workman,2004;Chen等人,2005;Hennessy等人,2005;Cully等人,2006)。 PI3K can be divided into three different categories based on the difference between structure and substrate preference. Although members of the class II PI3K family are involved in the regulation of tumor growth (Brown and Shepherd, 2001; Traer et al., 2006), numerous studies have focused on class I enzymes and their role in cancer (Stauffer et al., 2005; Stephens et al, 2005; Vivanco and Sawyers, 2002; Workman, 2004; Chen et al, 2005; Hennessy et al, 2005; Cully et al, 2006).

在傳統上一直基於蛋白亞單位組成之差異將I類PI3K分成兩個不 同的亞類。IA類PI3K包括與p85調控亞單位家族成員異二聚體化之催化性p110催化性亞單位(p110α、β或δ)。相比之下,IB類PI3K催化性亞單位(p110γ)與不同的p101調控亞單位異二聚體化(由Vanhaesebroeck及Waterfield,1999;Funaki等人,2000;Katso等人,2001綜述)。該等蛋白之C末端區域含有與蛋白激酶具有遠同源性(distant homology)之催化性結構域。PI3Kγ之結構與IA類p110類似,但缺少N末端p85結合位點(Domin及Waterfield,1997)。儘管總體結構類似,但催化性p110亞單位間之同源性係低的至中等的。PI3K同種型間之最高同源性係在激酶結構域之激酶袋(kinase pocket)中。 Class I PI3K has traditionally been divided into two distinct subclasses based on differences in protein subunit composition. Class I A PI3K includes a catalytic p110 catalytic subunit (p110α, β or δ) that is heterodimeric with a p85 regulatory subunit family member. In contrast, class I B PI3K catalytic subunits (p110γ) differ from different p101 regulatory subunits for heterodimerization (reviewed by Vanhaesebroeck and Waterfield, 1999; Funaki et al., 2000; Katso et al., 2001). The C-terminal region of these proteins contains a catalytic domain with distant homology to protein kinases. The structure of PI3Kγ is similar to that of class I A p110, but lacks the N-terminal p85 binding site (Domin and Waterfield, 1997). Although the overall structure is similar, the homology between the catalytic p110 subunits is low to moderate. The highest homology between the PI3K isoforms is in the kinase pocket of the kinase domain.

IA類PI3K同種型經由其p85調控亞單位與活化之受體酪胺酸激酶(RTK)(包括PDGFR、EGFR、VEGFR、IGF1-R、c-KIT、CSF-R及Met)或與酪胺酸磷酸化之銜接蛋白(例如Grb2、Cbl、IRS-1或Gab1)締合,從而導致脂質激酶活性受刺激。已顯示,p110β及p110γ同種型之脂質激酶活性之活化係因應與ras癌基因之活化形式之結合而發生(Kodaki等人,1994)。實際上,該等同種型之致癌活性可能需要結合至ras(Kang等人,2006)。相比之下,p110α及p110δ同種型展現不依賴於ras結合而是藉助Akt之組成型活化之致癌活性。 Class I A PI3K isoforms via their p85 regulatory subunits with activated receptor tyrosine kinase (RTK) (including PDGFR, EGFR, VEGFR, IGF1-R, c-KIT, CSF-R and Met) or with tyramine Acid-phosphorylated adaptor proteins (eg, Grb2, Cbl, IRS-1 or Gabl) are associated, resulting in stimulation of lipid kinase activity. Activation of the phosphokinase activity of the p110β and p110γ isoforms has been shown to occur in conjunction with the activated form of the ras oncogene (Kodaki et al., 1994). In fact, the carcinogenic activity of this isoform may require binding to ras (Kang et al., 2006). In contrast, the p110α and p110δ isoforms exhibited carcinogenic activity independent of ras binding but by constitutive activation of Akt.

I類PI3K催化PI(4,5)P2[PIP2]轉化成PI(3,4,5)P3[PIP3]。藉由PI3K產生PIP3影響調控及調整細胞增殖、細胞存活、分化及細胞遷移之生物終點之多種信號傳導過程。PIP3結合含普列克受質蛋白同源性(Pleckstrin-Homology)(PH)結構域之蛋白,包括磷酸肌醇依賴性激酶、PDK1及Akt原癌基因產物,使該等蛋白局部化於活性信號轉導區域中且亦直接促成其活化(Klippel等人,1997;Fleming等人,2000;Itoh及Takenawa,2002;Lemmon,2003)。PDK1與Akt之此共局部化有利於Akt之磷酸化及活化。Ser473上Akt之羧基末端磷酸化促進Akt活化環中Thr308之磷酸化(Chan及Tsichlis,2001;Hodgekinson等人, 2002;Scheid等人,2002;Hresko等人,2003)。一旦活化,Akt使直接影響細胞週期進展及細胞存活之路徑之多種調控激酶磷酸化並對其進行調控。 Class I PI3K catalyzes the conversion of PI(4,5)P 2 [PIP 2 ] to PI(3,4,5)P 3 [PIP 3 ]. The generation of PIP 3 by PI3K affects a variety of signaling processes that regulate and regulate the biological endpoints of cell proliferation, cell survival, differentiation, and cell migration. PIP 3 binds to a protein containing the Pleckstrin-Homology (PH) domain, including phosphoinositide-dependent kinase, PDK1 and Akt proto-oncogene products, localizing these proteins to activity It is also directly involved in the signal transduction region (Klippel et al., 1997; Fleming et al., 2000; Itoh and Takenawa, 2002; Lemmon, 2003). Localization of PDK1 and Akt facilitates phosphorylation and activation of Akt. Phosphorylation of the carboxy terminus of Akt on Ser 473 promotes phosphorylation of Thr 308 in the Akt activation loop (Chan and Tsichlis, 2001; Hodgekinson et al, 2002; Scheid et al, 2002; Hresko et al, 2003). Once activated, Akt phosphorylates and regulates a variety of regulatory kinases that directly affect cell cycle progression and cell survival pathways.

Akt活化之許多效應係經由其影響細胞存活且通常在癌症中失調之路徑之負性調控來介導。Akt藉由調控細胞凋亡及細胞週期機制之組份來促進腫瘤細胞存活。Akt係磷酸化及不活化促細胞凋亡BAD蛋白之若干激酶之一(del Paso等人,1997;Pastorino等人,1999)。Akt亦可經由藉由磷酸化Ser196上之半胱天冬酶9來阻斷細胞色素C-依賴性半胱天冬酶活化而促進細胞存活(Cardone等人,1998)。 Many of the effects of Akt activation are mediated through its negative regulation of the path that affects cell survival and is usually dysregulated in cancer. Akt promotes tumor cell survival by regulating components of apoptosis and cell cycle machinery. Akt is one of several kinases that phosphorylate and not activate the pro-apoptotic BAD protein (del Paso et al, 1997; Pastorino et al, 1999). Akt can also promote cell survival by blocking cytochrome C-dependent caspase activation by phosphorylating caspase 9 on Ser 196 (Cardone et al., 1998).

Akt在若干層面上影響基因轉錄。Akt介導之Ser166及Ser186上MDM2 E3泛素連接酶磷酸化有利於MDM2之細胞核輸入及泛素連接酶複合物之形成及活化。細胞核MDM2靶向p53腫瘤阻抑因子使其降解,該過程可由LY294002阻斷(Yap等人,2000;Ogawara等人,2002)。藉由MDM2下調p53負性影響p53調控之促細胞凋亡基因(例如Bax、Fas、PUMA及DR5)、細胞週期抑制劑p21Cip1及PTEN腫瘤阻抑因子之轉錄(Momand等人,2000;Hupp等人,2000;Mayo等人,2002;Su等人,2003)。類似地,Akt介導之叉頭轉錄因子(Forkhead transcription factor)FKHR、FKHRL及AFX之磷酸化(Kops等人,1999;Tang等人,1999)有利於其結合至14-3-3蛋白並自細胞核輸出至細胞質液中(Brunet等人,1999)。此叉頭活性之功能不活化亦影響促細胞凋亡及促血管生成基因轉錄,包括Fas配體(Ciechomska等人,2003)、Bim(一個促細胞凋亡Bcl-2家族成員)(Dijkers等人,2000)及血管生成素-1(Ang-1)拮抗劑、Ang-2(Daly等人,2004)之轉錄。叉頭轉錄因子調控細胞週期調節蛋白依賴性激酶(Cdk)抑制劑p27Kip1之表現。事實上,已證實PI3K抑制劑誘導p27Kip1表現,從而導致Cdk1抑制、細胞週期阻滯及細胞凋亡(Dijkers等人,2000)。亦報導Akt使 Thr145上之p21Cip1及Thr157上之p27Kip1磷酸化,有利於其與14-3-3蛋白締合,從而導致細胞核輸出及細胞質保留,以阻止其抑制細胞核Cdks(Zhou等人,2001;Motti等人,2004;Sekimoto等人,2004)。除該等效應以外,Akt使IKK磷酸化(Romashkova及Makarov,1999),從而導致IκB磷酸化及降解以及隨後NFκB之細胞核易位,從而導致諸如IAP及Bcl-XL等存活基因之表現。 Akt affects gene transcription at several levels. Phosphorylation of MDM2 E3 ubiquitin ligase on Akt-mediated Ser 166 and Ser 186 is beneficial to the nuclear import of MDM2 and the formation and activation of ubiquitin ligase complexes. Nuclear MDM2 targets p53 tumor suppressor to degrade it, which can be blocked by LY294002 (Yap et al., 2000; Ogawara et al., 2002). Down-regulation of p53 by MDM2 affects p53-regulated pro-apoptotic genes (eg, Bax, Fas, PUMA, and DR5), cell cycle inhibitors p21 Cip1, and PTEN tumor suppressor transcription (Momand et al., 2000; Hupp et al. Person, 2000; Mayo et al., 2002; Su et al., 2003). Similarly, Akt-mediated phosphorylation of the Forkhead transcription factor FKHR, FKHRL, and AFX (Kops et al., 1999; Tang et al., 1999) facilitates its binding to 14-3-3 protein and The nucleus is exported to the cytosol (Brunet et al., 1999). The inactivation of this forkhead function also affects apoptosis and pro-angiogenic gene transcription, including Fas ligand (Ciechomska et al., 2003), Bim (a pro-apoptotic Bcl-2 family member) (Dijkers et al. , 2000) and transcription of angiopoietin-1 (Ang-1) antagonist, Ang-2 (Daly et al., 2004). The forkhead transcription factor regulates the expression of the cell cycle regulatory protein-dependent kinase (Cdk) inhibitor p27 Kip1 . In fact, PI3K inhibitors have been shown to induce p27 Kip1 expression, leading to Cdk1 inhibition, cell cycle arrest and apoptosis (Dijkers et al., 2000). It has also been reported that Akt phosphorylates p27 Cip1 on Thr 145 and p27 Kip1 on Thr 157 , which facilitates its association with 14-3-3 protein, resulting in nuclear export and cytoplasmic retention, preventing its inhibition of nuclear Cdks (Zhou et al. People, 2001; Motti et al., 2004; Sekimoto et al., 2004). In addition to these effects, Akt phosphorylates IKK (Romashkova and Makarov, 1999), resulting in phosphorylation and degradation of IκB and subsequent nuclear translocation of NFκB, resulting in the expression of surviving genes such as IAP and Bcl-X L.

PI3K/Akt路徑亦與藉助與細胞凋亡誘導有關之JNK及p38MAPK MAP激酶阻抑細胞凋亡相關聯。假定Akt經由磷酸化及抑制兩種JNK/p38調控激酶、細胞凋亡信號調控激酶1(ASK1)(Kim等人,2001;Liao及Hung,2003;Yuan等人,2003)及混合譜系激酶3(MLK3)(Lopez-Ilasaca等人,1997;Barthwal等人,2003;Figueroa等人,2003)而阻抑JNK及p38MAPK信號傳導。在經細胞毒性劑處理之腫瘤中觀察到p38MAPK活性之誘導,且其為彼等藥劑誘導細胞死亡所需要(由Olson及Hallahan,2004綜述)。因此,PI3K路徑之抑制劑可促進共投與之細胞毒性藥物之活性。 The PI3K/Akt pathway is also associated with the inhibition of apoptosis by JNK and p38 MAPK MAP kinases involved in apoptosis induction. It is hypothesized that Akt via phosphorylation and inhibition of two JNK/p38 regulatory kinases, apoptosis signaling kinase 1 (ASK1) (Kim et al, 2001; Liao and Hung, 2003; Yuan et al, 2003) and mixed lineage kinase 3 ( MLK3) (Lopez-Ilasaca et al, 1997; Barthwal et al, 2003; Figueroa et al, 2003) suppresses JNK and p38 MAPK signaling. Induction of p38 MAPK activity was observed in cytotoxic agent treated tumors and was required for their agents to induce cell death (reviewed by Olson and Hallahan, 2004). Thus, inhibitors of the PI3K pathway promote the activity of co-administered cytotoxic drugs.

PI3K/Akt信號傳導之另一作用涉及經由調節糖原合酶激酶3(GSK3)活性來調控細胞週期進展。GSK3活性在休眠細胞中有所升高,在該等細胞中其使Ser286上之細胞週期調節蛋白D1磷酸化,從而靶向該蛋白使其泛素化並降解(Diehl等人,1998)且阻斷進入S期。Akt經由Ser9上之磷酸化來抑制GSK3活性(Cross等人,1995)。此導致細胞週期調節蛋白D1之含量升高,從而促進細胞週期進展。GSK3活性之抑制亦經由活化wnt/β-連環蛋白信號傳導路徑而影響細胞增殖(Abbosh及Nephew,2005;Naito等人,2005;Wilker等人,2005;Segrelles等人,2006)。Akt介導之GSK3磷酸化使得β-連環蛋白穩定及細胞核局部化,此又導致c-myc及細胞週期蛋白D1(其為β-連環蛋白/Tcf路徑之靶標)之表現增加。 Another effect of PI3K/Akt signaling involves regulation of cell cycle progression via regulation of glycogen synthase kinase 3 (GSK3) activity. GSK3 activity in resting cells was increased in those cells in which cell cycle regulatory proteins on the Ser 286 phosphorylation of D 1, whereby the targeting of the protein so as ubiquitination and degradation (Diehl, et al., 1998) And block into the S phase. Akt inhibits GSK3 activity via phosphorylation on Ser 9 (Cross et al., 1995). This results cyclin D 1 increased the content, thereby promoting cell cycle progression. Inhibition of GSK3 activity also affects cell proliferation via activation of the wnt/[beta]-catenin signaling pathway (Abbosh and Nephew, 2005; Naito et al, 2005; Wilker et al, 2005; Segreles et al, 2006). Akt-mediated GSK3 phosphorylation stabilizes β-catenin and localizes the nucleus, which in turn leads to increased expression of c-myc and cyclin D1, which are targets of the β-catenin/Tcf pathway.

儘管PI3K信號傳導為與癌基因及腫瘤阻抑因子二者有關之許多信號轉導網絡所利用,但已將PI3K及其活性與癌症直接聯繫起來。已在膀胱及結腸腫瘤及細胞系中觀察到p110α及p110β同種型之過表現,且過表現通常與PI3K活性增加相關(Bénistant等人,2000)。亦已報導,p110α在卵巢及宮頸腫瘤及腫瘤細胞系以及鱗狀細胞肺癌中過表現。p110α在宮頸及卵巢腫瘤系中之過表現與PI3K活性增加相關(Shayesteh等人,1999;Ma等人,2000)。已在結腸直腸癌中觀察到升高之PI3K活性(Phillips等人,1998),且已在乳癌中觀察到增加之表現(Gershtein等人,1999)。 Although PI3K signaling is utilized by many signal transduction networks involved in both oncogenes and tumor suppressor factors, PI3K and its activity have been directly linked to cancer. Overexpression of the p110α and p110β isoforms has been observed in bladder and colon tumors and cell lines, and overexpression is often associated with increased PI3K activity (Bénistant et al., 2000). It has also been reported that p110α is expressed in ovarian and cervical tumors and tumor cell lines as well as squamous cell lung cancer. Overexpression of p110α in cervical and ovarian tumor lines is associated with increased PI3K activity (Shayesteh et al., 1999; Ma et al., 2000). Elevated PI3K activity has been observed in colorectal cancer (Phillips et al, 1998) and increased performance has been observed in breast cancer (Gershtein et al, 1999).

在過去的幾年中,已在多種癌症中鑒定出編碼p110α之基因(PIK3CA)之體細胞突變。迄今收集之數據表明,PIK3CA在約32%之結腸直腸癌(Samuels等人,2004;Ikenoue等人,2005)、18%至40%之乳癌(Bachman等人,2004;Campbell等人,2004;Levine等人,2005;Saal等人,2005;Wu等人,2005)、27%之神經膠質母細胞瘤(Samuels等人,2004;Hartmann等人,2005;Gallia等人,2006)、25%之胃癌(Samuels等人,2004;Byun等人,2003;Li等人,2005)、36%之肝細胞癌(Lee等人,2005)、4%至12%之卵巢癌(Levine等人,2005;Wang等人,2005)、4%之肺癌(Samuels等人,2004;Whyte及Holbeck,2006)及高達40%之子宮內膜癌(Oda等人,2005)中突變。亦已報導少突神經膠質瘤、星形細胞瘤、髓母細胞瘤及甲狀腺腫瘤中出現PIK3CA突變(Broderick等人,2004;Garcia-Rostan等人,2005)。基於所觀察到之高突變頻率,PIK3CA係與癌症相關之兩個最頻繁突變基因中之一者,另一者係K-ras。超過80%之PIK3CA突變聚集在兩個蛋白質區域內:螺旋(E545K)及催化性(H1047R)結構域。生物化學分析及蛋白質表現研究已證實,兩種突變均導致增加之組成型p110α催化活性,且實際上係致癌的(Bader等人,2006;Kang等人,2005; Samuels等人,2005;Samuels及Ericson,2006)。近來,已報導,PIK3CA敲除之小鼠之胚胎纖維母細胞在各種生長因子受體(IGF-1、胰島素、PDGF、EGF)下游之信號傳導中具有缺陷,且對藉由各種致癌RTK轉化具有抗性(IGFR、野生型EGFR及EGFR之體細胞活化突變體、Her2/Neu)(Zhao等人,2006)。 In the past few years, somatic mutations in the gene encoding pi 10α (PIK3CA) have been identified in a variety of cancers. Data collected to date indicate that PIK3CA is in approximately 32% of colorectal cancer (Samuels et al, 2004; Ikenoue et al, 2005), 18% to 40% of breast cancer (Bachman et al, 2004; Campbell et al, 2004; Levine). Et al, 2005; Saal et al, 2005; Wu et al, 2005), 27% of gliomas (Samuels et al, 2004; Hartmann et al, 2005; Gallia et al, 2006), 25% of gastric cancer (Samuels et al, 2004; Byun et al, 2003; Li et al, 2005), 36% of hepatocellular carcinoma (Lee et al, 2005), 4% to 12% of ovarian cancer (Levine et al, 2005; Wang Et al., 2005), 4% of lung cancers (Samuels et al., 2004; Whyte and Holbeck, 2006) and up to 40% of endometrial cancers (Oda et al., 2005). PIK3CA mutations have also been reported in oligodendrogliomas, astrocytomas, medulloblastomas, and thyroid tumors (Broderick et al., 2004; Garcia-Rostan et al., 2005). Based on the observed high mutation frequency, PIK3CA is one of the two most frequently mutated genes associated with cancer, the other being K-ras. More than 80% of the PIK3CA mutations are clustered in two protein regions: the helix (E545K) and the catalytic (H1047R) domain. Biochemical analysis and protein expression studies have demonstrated that both mutations result in increased constitutive constitutive activity of pi 10a and are in fact carcinogenic (Bader et al, 2006; Kang et al, 2005; Samuels et al., 2005; Samuels and Ericson, 2006). Recently, it has been reported that embryonic fibroblasts of PIK3CA knockout mice have defects in signaling downstream of various growth factor receptors (IGF-1, insulin, PDGF, EGF), and have various transformations by various oncogenic RTKs. Resistance (IGFR, wild-type EGFR and somatic activation mutants of EGFR, Her2/Neu) (Zhao et al., 2006).

活體內PI3K功能研究已證實,siRNA介導之p110β下調抑制裸小鼠中之Akt磷酸化及HeLa細胞腫瘤生長二者(Czauderna等人,2003)。在類似實驗中,亦顯示siRNA介導之p110β下調在活體外及在活體內抑制惡性神經膠質瘤細胞之生長(Pu等人,2006)。可藉由顯性陰性p85調控亞單位抑制PI3K功能來阻斷有絲分裂發生及細胞轉化(Huang等人,1996;Rahimi等人,1996)。亦已在多種癌細胞中鑒定出編碼PI3K之p85α及p85β調控亞單位之基因中導致升高之脂質激酶活性之若干體細胞突變(Janssen等人,1998;Jimenez等人,1998;Philp等人,2001;Jucker等人,2002;Shekar等人,2005)。中和PI3K抗體亦阻斷有絲分裂發生且可在活體外誘導細胞凋亡(Roche等人,1994;Roche等人,1998;Bénistant等人,2000)。使用PI3K抑制劑LY294002及渥曼青黴素(wortmannin)之活體內原理論證研究證實,抑制PI3K信號傳導會減緩活體內腫瘤生長(Powis等人,1994;Shultz等人,1995;Semba等人,2002;Ihle等人,2004)。 In vivo PI3K functional studies have demonstrated that siRNA-mediated down-regulation of p110β inhibits both Akt phosphorylation and HeLa cell tumor growth in nude mice (Czauderna et al., 2003). In a similar experiment, siRNA-mediated down-regulation of p110β was also shown to inhibit malignant glioma cell growth in vitro and in vivo (Pu et al., 2006). Mitosis and cell transformation can be blocked by a dominant negative p85 regulatory subunit that inhibits PI3K function (Huang et al, 1996; Rahimi et al, 1996). Several somatic mutations in the genes encoding the p85[alpha] and p85[beta] regulatory subunits of PI3K that result in elevated lipid kinase activity have also been identified in a variety of cancer cells (Janssen et al, 1998; Jimenez et al, 1998; Philp et al, 2001; Jucker et al., 2002; Shekar et al., 2005). Neutralizing PI3K antibodies also blocks mitogenesis and induces apoptosis in vitro (Roche et al, 1994; Roche et al, 1998; Bénistant et al, 2000). In vivo studies using PI3K inhibitors LY294002 and wortmannin confirmed that inhibition of PI3K signaling slows tumor growth in vivo (Powis et al., 1994; Shultz et al., 1995; Semba et al., 2002; Ihle). Et al., 2004).

I類PI3K活性之過表現或其脂質激酶活性之刺激與對靶向(例如伊馬替尼(imatinib)及曲妥珠單抗(tratsuzumab))及細胞毒性化學治療方法以及放射療法之抗性有關(West等人,2002;Gupta等人,2003;Osaki等人,2004;Nagata等人,2004;Gottschalk等人,2005;Kim等人,2005)。亦已顯示,PI3K活化導致多藥物抗性蛋白-1(MRP-1)在前列腺癌細胞中表現且隨後誘導對化學療法之抗性(Lee等人,2004)。 Overexpression of class I PI3K activity or stimulation of its lipid kinase activity is associated with targeting (eg, imatinib and trastuzumab) and cytotoxic chemotherapeutic methods and resistance to radiation therapy ( West et al, 2002; Gupta et al, 2003; Osaki et al, 2004; Nagata et al, 2004; Gottschalk et al, 2005; Kim et al, 2005). It has also been shown that PI3K activation results in multidrug resistance protein-1 (MRP-1) being expressed in prostate cancer cells and subsequently induced resistance to chemotherapy (Lee et al., 2004).

以下發現進一步強調了PI3K信號傳導在腫瘤生成中之重要性:PTEN腫瘤阻抑因子PI(3)P磷酸酶尤其係人類癌症中最常見之不活化基因(Li等人,1997;Steck等人,1997;Ali等人,1999;Ishii等人,1999)。PTEN使PI(3,4,5)P3脫磷酸成為PI(4,5)P2,藉此拮抗PI3K依賴性信號傳導。含有功能不活化PTEN之細胞具有升高之PIP3含量、高程度之PI3K信號傳導活性(Haas-Kogan等人,1998;Myers等人,1998;Taylor等人,2000)、增加之增殖潛力及降低之對促細胞凋亡刺激之敏感性(Stambolic等人,1998)。功能PTEN之重構阻抑PI3K信號傳導(Taylor等人,2000)、抑制細胞生長及使細胞對促細胞凋亡刺激重新敏感(Myers等人,1998;Zhao等人,2004)。類似地,恢復缺少功能PTEN之腫瘤中之PTEN功能抑制活體內腫瘤生長(Stahl等人,2003;Su等人,2003;Tanaka及Grossman,2003)並使細胞對細胞毒性劑敏感(Tanaka及Grossman,2003)。 The following findings further emphasize the importance of PI3K signaling in tumorigenesis: PTEN tumor suppressor PI (3) P phosphatase is particularly the most common inactivated gene in human cancer (Li et al, 1997; Steck et al, 1997; Ali et al., 1999; Ishii et al., 1999). PTEN so PI (3,4,5) P 3 becomes dephosphorylated PI (4,5) P 2, thereby antagonizing PI3K-dependent signaling. Cells containing functionally inactive PTEN have elevated PIP 3 levels and a high degree of PI3K signaling activity (Haas-Kogan et al, 1998; Myers et al, 1998; Taylor et al, 2000), increased proliferative potential and decreased Sensitivity to pro-apoptotic stimulation (Stambolic et al., 1998). Reconstruction of functional PTEN suppresses PI3K signaling (Taylor et al., 2000), inhibits cell growth, and re-sensitizes cells to pro-apoptotic stimulation (Myers et al, 1998; Zhao et al, 2004). Similarly, restoration of PTEN function in tumors lacking functional PTEN inhibits in vivo tumor growth (Stahl et al, 2003; Su et al, 2003; Tanaka and Grossman, 2003) and makes cells sensitive to cytotoxic agents (Tanaka and Grossman, 2003).

至I類PI3K之信號傳導輸入係多樣的且可藉助遺傳分析來推斷。因此,在藉由經典受體酪胺酸激酶(RTK)配體(例如,EGF、胰島素、IGF-1及PDGF)刺激後,在p110α缺陷型鼠類胚胎纖維母細胞(MEF)中AKT之活化受到損害(Zhao等人,2006)。然而,其中p110β經去除或由p110β之激酶失活型對偶基因替代之MEF通常響應經由RTK之生長因子刺激(Jia等人,2008)。相比之下,p110β催化活性為因應GPCR配體(例如LPA)之AKT活化所需要。因此,p110α似乎攜載經典RTK信號傳導中之大多數PI3K信號且負責腫瘤細胞生長、增殖、存活、血管生成及代謝,而p110β介導來自絲裂原及趨化介素之GPCR信號傳導且因此可調控腫瘤細胞增殖、代謝、發炎及侵襲(Vogt等人,2009;Jia等人,2009)。 The signaling input to the class I PI3K is diverse and can be inferred by means of genetic analysis. Therefore, activation of AKT in p110α-deficient murine embryonic fibroblasts (MEF) after stimulation by classical receptor tyrosine kinase (RTK) ligands (eg, EGF, insulin, IGF-1, and PDGF) Damaged (Zhao et al., 2006). However, MEFs in which p110β is removed or replaced by a kinase-inactivated dual gene of p110β typically respond to growth factor stimulation via RTK (Jia et al., 2008). In contrast, p110β catalytic activity is required for AKT activation in response to GPCR ligands (eg, LPA). Thus, p110α appears to carry most of the PI3K signaling in classical RTK signaling and is responsible for tumor cell growth, proliferation, survival, angiogenesis and metabolism, while p110β mediates GPCR signaling from mitogens and chemokines and therefore Tumor cell proliferation, metabolism, inflammation and invasion can be modulated (Vogt et al, 2009; Jia et al, 2009).

編碼p110β之基因之突變在腫瘤中極其罕見,但已在許多腫瘤中發現PI3Kβ之擴增(Bénistant等人,2000;Brugge等人,2007)。重要 地,在由PTEN缺陷驅動之小鼠前列腺腫瘤模型中,顯示p110α之去除對腫瘤形成沒有效應(Jia等人,2008)。另外,在p110β而非p110α之PTEN缺陷型人類癌細胞系(例如,PC-3、U87MG及BT549)中,抑制AKT之下游活化、細胞轉化及PTEN缺陷型細胞及腫瘤異種移植物之生長(Wee等人,2008)。遺傳研究已表明p110β之激酶活性在由PTEN喪失造成之細胞轉化中係必需的。例如,返回添加激酶失活的p110β而非其野生型對應物,在內源性p110β缺乏之PTEN缺陷型PC3細胞中形成受損之病灶(Wee等人,2008)。該等研究證實PTEN缺陷型腫瘤細胞依賴於p110β及其用於信號傳導及生長之催化性活性。 Mutations in the gene encoding p110β are extremely rare in tumors, but amplification of PI3Kβ has been found in many tumors (Bénistant et al., 2000; Brugge et al., 2007). important In the mouse prostate tumor model driven by PTEN deficiency, it was shown that removal of p110α had no effect on tumor formation (Jia et al., 2008). In addition, in PTEN-deficient human cancer cell lines (eg, PC-3, U87MG, and BT549) of p110β but not p110α, inhibition of downstream activation of AKT, cell transformation, and growth of PTEN-deficient cells and tumor xenografts (Wee) Et al., 2008). Genetic studies have shown that the kinase activity of p110β is required for cell transformation caused by loss of PTEN. For example, the addition of kinase-inactivated p110β, rather than its wild-type counterpart, results in the formation of impaired lesions in endogenous p110β deficient PTEN-deficient PC3 cells (Wee et al., 2008). These studies demonstrate that PTEN-deficient tumor cells are dependent on p110β and its catalytic activity for signaling and growth.

通常在許多癌症中發現腫瘤阻抑基因PTEN之遺傳改變(Liu等人,2009),例如子宮內膜癌(43%)、CRPC(35-79%)、神經膠質瘤(19%)及黑色素瘤(18%)。在子宮內膜癌之情形下,證實共存之PIK3CA及PTEN遺傳改變(Yuan及Cantley,2008)。除突變以外,已發現PIK3CA之擴增及由各種分子機制引起之PTEN功能喪失。例如,分別在30-50%及35-60%之胃癌患者中發現PIK3CA之擴增及PTEN之功能喪失,但據報導PIK3CA及PTEN之突變率小於各自之7%(Byun等人,2003;Oki等人,2006;Li等人,2005;Sanger Database)。 Genetic alterations in the tumor suppressor gene PTEN are commonly found in many cancers (Liu et al., 2009), such as endometrial cancer (43%), CRPC (35-79%), glioma (19%), and melanoma. (18%). In the case of endometrial cancer, the coexisting genetic alterations of PIK3CA and PTEN were confirmed (Yuan and Cantley, 2008). In addition to mutations, amplification of PIK3CA and loss of PTEN function caused by various molecular mechanisms have been found. For example, amplification of PIK3CA and loss of function of PTEN were found in 30-50% and 35-60% of gastric cancer patients, respectively, but the mutation rate of PIK3CA and PTEN was reported to be less than 7% (Byun et al., 2003; Oki). Et al, 2006; Li et al., 2005; Sanger Database).

儘管腫瘤類型之亞組僅依賴於PI3Kα信號傳導,但其他腫瘤依賴於PI3Kβ信號傳導或依賴於PI3Kα及PI3Kβ信號傳導二者之組合。 Although a subset of tumor types relies solely on PI3Kα signaling, other tumors rely on PI3Kβ signaling or on a combination of both PI3Kα and PI3Kβ signaling.

因此,業內仍需要展現PI3Kα及PI3Kβ同種型二者之平衡抑制之PI3K抑制劑。具體而言,業內需要展示抵抗PI3Kα及PI3Kβ之等效(即平衡)抑制活性以獲得期望之治療效應且同時呈現對患者無不利事件/效應或不利事件/效應有所減少之PI3K抑制劑。 Therefore, there is still a need in the industry for PI3K inhibitors that exhibit balanced inhibition of both PI3K alpha and PI3K beta isoforms. In particular, there is a need in the art to demonstrate PI3K inhibitors that are resistant to the equivalent (ie, balanced) inhibitory activity of PI3K alpha and PI3K beta to achieve the desired therapeutic effect while exhibiting no adverse events/effects or adverse events/effects to the patient.

本申請者先前已發現顯示對PI3Kα及PI3Kβ同種型二者之平衡抑制之化合物(參見WO2012/062748)。 The Applicants have previously found compounds that exhibit balanced inhibition of both PI3K alpha and PI3K beta isoforms (see WO 2012/062748).

基於所預料之作用模式,PI3K抑制劑對腫瘤中PI3K路徑之有效 阻抑對於達成適宜或改良之治療功效(例如對於增加之腫瘤殺傷功效及/或對於更好之疾病控制)可能係必需的及/或有利的。 Based on the expected mode of action, PI3K inhibitors are effective against PI3K pathways in tumors Repression may be necessary and/or advantageous for achieving an appropriate or improved therapeutic effect (e.g., for increased tumor killing efficacy and/or for better disease control).

另外,PI3K除在腫瘤形成、腫瘤生長、存活及轉移中之重要作用以外,其亦調控許多正常細胞及器官之發育、代謝及生物功能。因此,研發用於治療癌症之PI3K抑制劑面對生成充足的治療窗口(經由對腫瘤細胞增殖及存活之充足抑制)、同時維持可接受之毒理學檔案(藉由允許正常細胞及器官在充足程度上起作用)之挑戰。實際上,目前臨床上正研發之大多數PI3K抑制劑在證實實質抗腫瘤功效之前顯示顯著副效應及嚴重不利事件(例如高血糖症、GI毒性、肝毒性、肺炎、肺囊蟲性肺炎(Pneumocystis pneumonia,PCP)等)。一些毒性與作用模式相關。因此,臨床上急需提供如下之新穎治療選項: -有效阻抑腫瘤細胞中之PI3K路徑,從而可引起充足的或改良之治療功效(例如增加之腫瘤殺傷功效及/或更好之疾病控制),及/或 -在服用PI3K抑制劑來治療與血管生成相關之過度增殖病症及/或疾病之患者中維持或改良毒理學檔案(例如降低某些副效應及/或某些不利事件之發病率及嚴重性)。 In addition, in addition to its important role in tumor formation, tumor growth, survival and metastasis, PI3K also regulates the development, metabolism and biological functions of many normal cells and organs. Therefore, PI3K inhibitors developed for the treatment of cancer face the generation of adequate therapeutic windows (through adequate inhibition of tumor cell proliferation and survival) while maintaining acceptable toxicological profiles (by allowing normal cells and organs to be sufficient) The extent to which it works) challenges. In fact, most of the PI3K inhibitors currently being clinically developed show significant side effects and serious adverse events (eg hyperglycemia, GI toxicity, hepatotoxicity, pneumonia, pneumocystic pneumonia) (Pneumocystis) before confirming substantial antitumor efficacy Pneumonia, PCP), etc.). Some toxicities are related to the mode of action. Therefore, there is an urgent need to provide the following novel treatment options: - effectively suppressing the PI3K pathway in tumor cells, thereby causing sufficient or improved therapeutic efficacy (eg, increased tumor killing efficacy and/or better disease control), and/or Maintaining or improving toxicological profiles in patients taking PI3K inhibitors to treat hyperproliferative disorders and/or diseases associated with angiogenesis (eg reducing the incidence and severity of certain side effects and/or certain adverse events) ).

本申請者已驚奇地發現針對PI3K抑制劑之投與、具體而言針對如本文所闡述之式(I)之PI3K抑制劑之投與的有利投藥方案,該方案-相對於連續投藥改良腫瘤組織中PI3K路徑之阻抑及/或改良治療功效(例如增加之腫瘤殺傷功效及/或更好之疾病控制),及/或-在服用式(I)化合物來治療與血管生成相關之過度增殖病症及/或疾病之患者中維持或改良毒理學檔案(例如藉由降低在連續投藥下觀察到之某些副效應及/或某些不利事件之發病率及嚴重性)。 The Applicant has surprisingly discovered a favorable dosing regimen for the administration of PI3K inhibitors, in particular for the administration of a PI3K inhibitor of formula (I) as set forth herein, which improves tumor tissue relative to continuous administration Repression of the PI3K pathway and/or improved therapeutic efficacy (eg, increased tumor killing efficacy and/or better disease control), and/or - administration of a compound of formula (I) to treat hyperproliferative disorders associated with angiogenesis To maintain or improve toxicological profiles in patients with and/or diseases (eg, by reducing the incidence and severity of certain side effects and/or certain adverse events observed under continuous administration).

因此,在第一態樣中,本發明係關於式(I)化合物 Thus, in a first aspect, the invention relates to a compound of formula (I)

其中:R1代表-(CH2)n-(CHR4)-(CH2)m-N(R5)(R5’);R2代表以下結構之雜芳基: Wherein: R 1 represents -(CH 2 ) n -(CHR 4 )-(CH 2 ) m -N(R 5 )(R 5' ); and R 2 represents a heteroaryl group of the following structure:

其視情況經1個、2個或3個R6基團取代,其中:*代表該雜芳基與通式(I)之化合物之其餘部分之附接點,X代表N或C-R6,X’代表O、S、NH、N-R6、N或C-R6,前提係當X及X’皆為C-R6時,則一個C-R6為C-H;R3係甲基;R4係羥基;R5及R5’相同或不同且彼此獨立地係氫原子或C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷氧基-C1-C6-烷基,或R5及R5’與其所結合之氮原子一起代表3至7員含氮雜環,該雜環視情況含有至少一個選自氧、氮或硫之其他雜原子且其可視情況經1個或多個R6’基團取代;每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1- C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或-NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代;每次出現之R6’可相同或不同且獨立地係C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷基-OR7;每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;n係1之整數且m係1之整數;前提係當-該R5及R5’與其所結合之氮原子一起代表以下結構時: It is optionally substituted with 1, 2 or 3 R 6 groups, wherein: * represents the attachment point of the heteroaryl group to the rest of the compound of formula (I), X represents N or CR 6 , X 'Represents O, S, NH, NR 6 , N or CR 6 , provided that when both X and X' are CR 6 , then one CR 6 is CH; R 3 is methyl; R 4 is hydroxyl; R 5 and R 5 'is the same or different and independently of each other is a hydrogen atom or a C 1 -C 6 -alkyl group, a C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl group or a C 1 -C 6 -alkoxy group The base-C 1 -C 6 -alkyl group, or R 5 and R 5 ' together with the nitrogen atom to which they are bonded represent a 3 to 7 member nitrogen-containing heterocyclic ring, the heterocyclic ring optionally containing at least one selected from the group consisting of oxygen, nitrogen or sulfur. Other heteroatoms and which may optionally be substituted by one or more R 6 ' groups; each occurrence of R 6 may be the same or different and independently a hydrogen atom, a halogen atom, a C 1 -C 6 -alkyl group, C 2- C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl, aryl -C 1 -C 6 -alkyl, heteroaryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclyl-C 1 -C 6 -alkane , -C 1 -C 6 -alkyl-OR 7 , -C 1 -C 6 - Alkyl-SR 7 , -C 1 -C 6 -alkyl-N(R 7 )(R 7' ), -C 1 -C 6 -alkyl-C(=O)R 7 , -CN, -C (=O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 )(R 7' ) or -NR 7 C(= O) R 7 , each of which may be optionally substituted with 1 or more R 8 groups; each occurrence of R 6 ' may be the same or different and independently C 1 -C 6 -alkyl , C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkyl-OR 7 ; each occurrence of R 7 and R 7 ' may be the same or different and independently Hydrogen atom or C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl- C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, 3 to 8 membered hetero Cyclo-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; each occurrence of R 8 is independently a halogen atom or a nitro group, a hydroxyl group, a cyano group, a methyl group, a Mercapto, amine, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 - ring alkyl, C 3 -C 6 - cycloalkyl, -C 1 -C 6 - alkyl, C 1 -C 6 - cycloalkenyl group, an aryl group, Group -C 1 -C 6 - alkyl, aryl, heteroaryl, 3-8 heterocyclyl, heterocyclyl -C 1 -C 6 - alkyl aryl or heteroaryl group -C 1 -C 6 - alkyl; n lines An integer of 1 and m is an integer of 1; the premise is when - R 5 and R 5' together with the nitrogen atom to which they are bonded represent the following structure:

其中*代表與通式(I)之結構之其餘部分之附接點,則- 以下結構之該R2雜芳基: Wherein * represents an attachment point to the remainder of the structure of formula (I), then - the R 2 heteroaryl of the structure:

不為: Not for:

其中*代表與通式(I)之結構之其餘部分之附接點,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物;該式(I)化合物用於預防或治療過度增殖及/或血管生成病症,其中在每一投與循環中將式(I)化合物投與1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 Wherein * represents an attachment point to the remainder of the structure of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof or a mixture thereof; (I) a compound for use in preventing or treating a hyperproliferative and/or angiogenic disorder, wherein the compound of formula (I) is administered for a period of from 1 to 5 days in each administration cycle, followed by a period of from 3 to 6 days Compounds of formula (I) are not administered or placebo is administered.

本發明之第二態樣係關於如本文所定義之式(I)化合物之用途,其用於製造用以預防或治療過度增殖及/或血管生成病症之醫藥,其中在每一投與循環中將式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物投與1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 A second aspect of the invention relates to the use of a compound of formula (I) as defined herein for the manufacture of a medicament for the prevention or treatment of hyperproliferative and/or angiogenic disorders, wherein in each administration cycle The compound of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, or a mixture thereof, is administered for a period of from 1 to 5 days, followed by 3 to 6 days. Compounds of formula (I) or placebo are not administered during the time period.

本發明之第三態樣係關於預防或治療過度增殖及/或血管生成病症之方法,其包含在每一投與循環中向罹患該病症之患者投與如本文所定義之式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物達1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 A third aspect of the invention relates to a method of preventing or treating a hyperproliferative and/or angiogenic disorder comprising administering to a patient suffering from the disorder a compound of formula (I) as defined herein in each administration cycle Or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof or a mixture thereof for a period of from 1 to 5 days, followed by a non-administration formula for a period of 3 to 6 days ( I) Compound or placebo.

根據本發明之另一態樣,提供治療有需要之患者之至少一種病理學狀態之方法,其包含向患者投與(在每一投與循環中)藥理學上有效劑量之如本文所定義之式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物達1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 According to another aspect of the invention, there is provided a method of treating at least one pathological condition in a patient in need thereof, comprising administering to the patient (in each administration cycle) a pharmacologically effective amount as defined herein a compound of formula (I) or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof or a mixture thereof for a period of from 1 to 5 days, followed by a period of from 3 to 6 days Compounds of formula (I) are not administered or placebo is administered.

根據本發明之另一態樣,提供抑制個體之PI3K之方法,其包含向該個體投與(在每一投與循環中)有效劑量之通式(I)之化合物、如本文所定義係式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物達1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 According to another aspect of the invention, there is provided a method of inhibiting PI3K in an individual comprising administering to the individual (in each administration cycle) an effective amount of a compound of formula (I), as defined herein, (I) a compound or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof or a mixture thereof for a period of from 1 to 5 days, followed by a period of from 3 to 6 days Administration of a compound of formula (I) or administration of a placebo.

本發明亦係關於包裝,其包含通式(I)之化合物之醫藥組合物以及投與該組合物(在每一投與循環中)達1至5天之時段、隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑之說明書。 The invention also relates to a package comprising a pharmaceutical composition of a compound of formula (I) and administering the composition (in each administration cycle) for a period of from 1 to 5 days, followed by 3 to 6 days Instructions for administering the compound of formula (I) or administering a placebo during the time period.

A. 定義A. Definition

如本文所提及之術語較佳具有以下含義:術語「鹵素原子」或「鹵基」應理解為意指氟、氯、溴或碘原子。 The term as referred to herein preferably has the following meaning: The term "halogen atom" or "halo group" is understood to mean a fluorine, chlorine, bromine or iodine atom.

術語「C1-C6-烷基」應理解為較佳地意指具有1個、2個、3個、4個、5個或6個碳原子之直鏈或具支鏈的飽和單價烴基團,例如甲基、乙基、丙基、丁基、戊基、己基、異丙基、異丁基、第二丁基、第三丁基、異戊基、2-甲基丁基、1-甲基丁基、1-乙基丙基、1,2-二甲基丙基、新戊基、1,1-二甲基丙基、4-甲基戊基、3-甲基戊基、2-甲基戊基、1-甲基戊基、2-乙基丁基、1-乙基丁基、3,3-二甲基丁基、2,2-二甲基丁基、1,1-二甲基丁基、2,3-二甲基丁基、1,3-二甲基丁基或1,2-二甲基丁基或其異構物。具體而言,該基團具有1個、2個或3個碳原子(「C1-C3-烷基」),甲基、乙基、正丙基或異丙基。 The term "C 1 -C 6 -alkyl" is understood to preferably mean a straight or branched saturated monovalent hydrocarbon radical having 1, 2, 3, 4, 5 or 6 carbon atoms. a group such as methyl, ethyl, propyl, butyl, pentyl, hexyl, isopropyl, isobutyl, t-butyl, t-butyl, isopentyl, 2-methylbutyl, 1 -methylbutyl, 1-ethylpropyl, 1,2-dimethylpropyl, neopentyl, 1,1-dimethylpropyl, 4-methylpentyl, 3-methylpentyl , 2-methylpentyl, 1-methylpentyl, 2-ethylbutyl, 1-ethylbutyl, 3,3-dimethylbutyl, 2,2-dimethylbutyl, 1 , 1-dimethylbutyl, 2,3-dimethylbutyl, 1,3-dimethylbutyl or 1,2-dimethylbutyl or an isomer thereof. Specifically, the group has 1, 2 or 3 carbon atoms ("C 1 -C 3 -alkyl"), methyl, ethyl, n-propyl or isopropyl.

術語「C1-C6-烷氧基」應理解為較佳地意指式-O-烷基之直鏈或具支鏈的飽和單價烴基團,其中術語「烷基」係如上文所定義,例如甲氧基、乙氧基、正丙氧基、異丙氧基、正丁氧基、異丁氧基、第三丁氧基、第二丁氧基、戊氧基、異戊氧基或正己氧基或其異構物。 The term "C 1 -C 6 -alkoxy" is understood to preferably mean a straight-chain or branched saturated monovalent hydrocarbon radical of the formula -O-alkyl, wherein the term "alkyl" is as defined above. , for example, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, tert-butoxy, second butoxy, pentyloxy, isopentyloxy Or n-hexyloxy or its isomers.

術語「C1-C6-烷氧基-C1-C6-烷基」應理解為較佳地意指如上文所 定義之直鏈或具支鏈的飽和單價烷基,其中氫原子中之一或多者相同或不同地由如上文所定義之C1-C6-烷氧基替代,例如甲氧基烷基、乙氧基烷基、丙基氧基烷基、異丙氧基烷基、丁氧基烷基、異丁氧基烷基、第三丁氧基烷基、第二丁氧基烷基、戊基氧基烷基、異戊基氧基烷基、己基氧基烷基,其中術語「C1-C6-烷基」係如上文所定義,或其異構物。 The term "C 1 -C 6 -alkoxy-C 1 -C 6 -alkyl" is understood to preferably mean a straight-chain or branched saturated monovalent alkyl group as defined above, wherein in a hydrogen atom One or more of the same or different substitutions by a C 1 -C 6 -alkoxy group as defined above, for example methoxyalkyl, ethoxyalkyl, propyloxyalkyl, isopropoxy Alkyl, butoxyalkyl, isobutoxyalkyl, tert-butoxyalkyl, second butoxyalkyl, pentyloxyalkyl, isopentyloxyalkyl, hexyloxy Alkyl, wherein the term "C 1 -C 6 -alkyl" is as defined above, or an isomer thereof.

術語「C2-C6-烯基」應理解為較佳地意指含有一或多個雙鍵且具有2個、3個、4個、5個或6個碳原子、具體而言2個或3個碳原子(「C2-C3-烯基」)之直鏈或具支鏈的單價烴基團,應瞭解在該烯基含有一個以上雙鍵之情形下,則該等雙鍵可彼此分離或與彼此共軛。該烯基係(例如)乙烯基、烯丙基、(E)-2-甲基乙烯基、(Z)-2-甲基乙烯基、高烯丙基、(E)-丁-2-烯基、(Z)-丁-2-烯基、(E)-丁-1-烯基、(Z)-丁-1-烯基、戊-4-烯基、(E)-戊-3-烯基、(Z)-戊-3-烯基、(E)-戊-2-烯基、(Z)-戊-2-烯基、(E)-戊-1-烯基、(Z)-戊-1-烯基、己-5-烯基、(E)-己-4-烯基、(Z)-己-4-烯基、(E)-己-3-烯基、(Z)-己-3-烯基、(E)-己-2-烯基、(Z)-己-2-烯基、(E)-己-1-烯基、(Z)-己-1-烯基、異丙烯基、2-甲基丙-2-烯基、1-甲基丙-2-烯基、2-甲基丙-1-烯基、(E)-1-甲基丙-1-烯基、(Z)-1-甲基丙-1-烯基、3-甲基丁-3-烯基、2-甲基丁-3-烯基、1-甲基丁-3-烯基、3-甲基丁-2-烯基、(E)-2-甲基丁-2-烯基、(Z)-2-甲基丁-2-烯基、(E)-1-甲基丁-2-烯基、(Z)-1-甲基丁-2-烯基、(E)-3-甲基丁-1-烯基、(Z)-3-甲基丁-1-烯基、(E)-2-甲基丁-1-烯基、(Z)-2-甲基丁-1-烯基、(E)-1-甲基丁-1-烯基、(Z)-1-甲基丁-1-烯基、1,1-二甲基丙-2-烯基、1-乙基丙-1-烯基、1-丙基乙烯基、1-異丙基乙烯基、4-甲基戊-4-烯基、3-甲基戊-4-烯基、2-甲基戊-4-烯基、1-甲基戊-4-烯基、4-甲基戊-3-烯基、(E)-3-甲基戊-3-烯基、(Z)-3-甲基戊-3-烯基、(E)-2-甲基戊-3-烯基、(Z)-2-甲基戊-3-烯基、(E)-1-甲基戊-3-烯基、 (Z)-1-甲基戊-3-烯基、(E)-4-甲基戊-2-烯基、(Z)-4-甲基戊-2-烯基、(E)-3-甲基戊-2-烯基、(Z)-3-甲基戊-2-烯基、(E)-2-甲基戊-2-烯基、(Z)-2-甲基戊-2-烯基、(E)-1-甲基戊-2-烯基、(Z)-1-甲基戊-2-烯基、(E)-4-甲基戊-1-烯基、(Z)-4-甲基戊-1-烯基、(E)-3-甲基戊-1-烯基、(Z)-3-甲基戊-1-烯基、(E)-2-甲基戊-1-烯基、(Z)-2-甲基戊-1-烯基、(E)-1-甲基戊-1-烯基、(Z)-1-甲基戊-1-烯基、3-乙基丁-3-烯基、2-乙基丁-3-烯基、1-乙基丁-3-烯基、(E)-3-乙基丁-2-烯基、(Z)-3-乙基丁-2-烯基、(E)-2-乙基丁-2-烯基、(Z)-2-乙基丁-2-烯基、(E)-1-乙基丁-2-烯基、(Z)-1-乙基丁-2-烯基、(E)-3-乙基丁-1-烯基、(Z)-3-乙基丁-1-烯基、2-乙基丁-1-烯基、(E)-1-乙基丁-1-烯基、(Z)-1-乙基丁-1-烯基、2-丙基丙-2-烯基、1-丙基丙-2-烯基、2-異丙基丙-2-烯基、1-異丙基丙-2-烯基、(E)-2-丙基丙-1-烯基、(Z)-2-丙基丙-1-烯基、(E)-1-丙基丙-1-烯基、(Z)-1-丙基丙-1-烯基、(E)-2-異丙基丙-1-烯基、(Z)-2-異丙基丙-1-烯基、(E)-1-異丙基丙-1-烯基、(Z)-1-異丙基丙-1-烯基、(E)-3,3-二甲基丙-1-烯基、(Z)-3,3-二甲基丙-1-烯基、1-(1,1-二甲基乙基)乙烯基、丁-1,3-二烯基、戊-1,4-二烯基、己-1,5-二烯基或甲基己二烯基。具體而言,該基團係乙烯基或烯丙基。 The term "C 2 -C 6 -alkenyl" is understood to preferably mean one or more double bonds and have 2, 3, 4, 5 or 6 carbon atoms, in particular 2 Or a straight or branched monovalent hydrocarbon group of 3 carbon atoms ("C 2 -C 3 -alkenyl"), it being understood that where the alkenyl group contains more than one double bond, the double bonds may Separated from each other or conjugated to each other. The alkenyl group is, for example, vinyl, allyl, (E)-2-methylvinyl, (Z)-2-methylvinyl, homoallyl, (E)-but-2-ene , (Z)-but-2-enyl, (E)-but-1-enyl, (Z)-but-1-enyl, pent-4-enyl, (E)-pent-3- Alkenyl, (Z)-pent-3-enyl, (E)-pent-2-enyl, (Z)-pent-2-enyl, (E)-pent-1-enyl, (Z) -pent-1-enyl, hex-5-alkenyl, (E)-hex-4-enyl, (Z)-hex-4-enyl, (E)-hex-3-enyl, (Z )-hex-3-enyl, (E)-hex-2-enyl, (Z)-hex-2-enyl, (E)-hex-1-enyl, (Z)-hex-1- Alkenyl, isopropenyl, 2-methylprop-2-enyl, 1-methylprop-2-enyl, 2-methylprop-1-enyl, (E)-1-methylpropane- 1-alkenyl, (Z)-1-methylprop-1-enyl, 3-methylbut-3-enyl, 2-methylbut-3-enyl, 1-methylbut-3- Alkenyl, 3-methylbut-2-enyl, (E)-2-methylbut-2-enyl, (Z)-2-methylbut-2-enyl, (E)-1- Methylbut-2-enyl, (Z)-1-methylbut-2-enyl, (E)-3-methylbut-1-enyl, (Z)-3-methylbut-1 - alkenyl, (E)-2-methylbut-1-enyl, (Z)-2-methylbut-1-enyl, (E)-1-methylbut-1-enyl, ( Z)-1-methylbut-1-enyl, 1,1-dimethylpropan-2- , 1-ethylprop-1-enyl, 1-propylvinyl, 1-isopropylvinyl, 4-methylpent-4-enyl, 3-methylpent-4-enyl, 2-methylpent-4-enyl, 1-methylpent-4-enyl, 4-methylpent-3-enyl, (E)-3-methylpent-3-enyl, (Z )-3-methylpent-3-enyl, (E)-2-methylpent-3-enyl, (Z)-2-methylpent-3-enyl, (E)-1-A Kepent-3-enyl, (Z)-1-methylpent-3-enyl, (E)-4-methylpent-2-enyl, (Z)-4-methylpent-2- Alkenyl, (E)-3-methylpent-2-enyl, (Z)-3-methylpent-2-enyl, (E)-2-methylpent-2-enyl, (Z -2-methylpent-2-enyl, (E)-1-methylpent-2-enyl, (Z)-1-methylpent-2-enyl, (E)-4-A Pent-1-enyl, (Z)-4-methylpent-1-enyl, (E)-3-methylpent-1-enyl, (Z)-3-methylpent-1- Alkenyl, (E)-2-methylpent-1-enyl, (Z)-2-methylpent-1-enyl, (E)-1-methylpent-1-enyl, (Z )-1-methylpent-1-enyl, 3-ethylbut-3-enyl, 2-ethylbut-3-enyl, 1-ethylbut-3-enyl, (E)- 3-ethylbut-2-enyl, (Z)-3-ethylbut-2-enyl, (E)-2-ethylbut-2-enyl, (Z)-2-ethyl -2-alkenyl, (E)-1-ethylbut-2-enyl, (Z)-1-ethyl -2-alkenyl, (E)-3-ethylbut-1-enyl, (Z)-3-ethylbut-1-enyl, 2-ethylbut-1-enyl, (E) 1-ethylbuten-1-enyl, (Z)-1-ethylbut-1-enyl, 2-propylprop-2-enyl, 1-propylprop-2-enyl, 2 -isopropylpropan-2-enyl, 1-isopropylprop-2-enyl, (E)-2-propylprop-1-enyl, (Z)-2-propylprop-1- Alkenyl, (E)-1-propylprop-1-enyl, (Z)-1-propylprop-1-enyl, (E)-2-isopropylprop-1-enyl, ( Z)-2-isopropylpropan-1-enyl, (E)-1-isopropylpropan-1-enyl, (Z)-1-isopropylpropan-1-enyl, (E) -3,3-dimethylprop-1-enyl, (Z)-3,3-dimethylprop-1-enyl, 1-(1,1-dimethylethyl)vinyl, butyl - 1,3-dienyl, pentane-1,4-dienyl, hex-1,5-dienyl or methylhexadienyl. In particular, the group is a vinyl or allyl group.

術語「C2-C6-炔基」應理解為較佳地意指含有一或多個三鍵且含有2個、3個、4個、5個或6個碳原子、具體而言2個或3個碳原子(「C2-C3-炔基」)之直鏈或具支鏈的單價烴基團。該C2-C6-炔基係(例如),乙炔基、丙-1-炔基、丙-2-炔基、丁-1-炔基、丁-2-炔基、丁-3-炔基、戊-1-炔基、戊-2-炔基、戊-3-炔基、戊-4-炔基、己-1-炔基、己-2-炔基、己-3-炔基、己-4-炔基、己-5-炔基、1-甲基丙-2-炔基、2-甲基丁-3-炔基、1-甲基丁-3-炔基、1-甲基丁-2-炔基、3-甲基丁-1-炔基、1-乙基丙-2-炔基、3-甲基戊-4-炔基、2-甲基戊-4-炔基、1-甲基戊-4-炔基、2-甲基戊-3-炔基、1-甲基戊-3-炔基、4-甲基戊-2-炔基、1- 甲基戊-2-炔基、4-甲基戊-1-炔基、3-甲基戊-1-炔基、2-乙基丁-3-炔基、1-乙基丁-3-炔基、1-乙基丁-2-炔基、1-丙基丙-2-炔基、1-異丙基丙-2-炔基、2,2-二甲基丁-3-炔基、1,1-二甲基丁-3-炔基、1,1-二甲基丁-2-炔基或3,3-二甲基丁-1-炔基。具體而言,該炔基係乙炔基、丙-1-炔基或丙-2-炔基。 The term "C 2 -C 6 -alkynyl" is understood to preferably mean one or more triple bonds and contain 2, 3, 4, 5 or 6 carbon atoms, in particular 2 Or a linear or branched monovalent hydrocarbon group of 3 carbon atoms ("C 2 -C 3 -alkynyl"). The C 2 -C 6 -alkynyl group (for example), ethynyl, prop-1-ynyl, prop-2-ynyl, but-1-ynyl, but-2-ynyl, but-3-yne , pent-1-ynyl, pent-2-ynyl, pent-3-ynyl, pent-4-ynyl, hex-1-ynyl, hex-2-ynyl, hex-3-ynyl ,hex-4-ynyl, hex-5-ynyl, 1-methylprop-2-ynyl, 2-methylbut-3-ynyl, 1-methylbut-3-ynyl, 1- Methylbut-2-ynyl, 3-methylbut-1-ynyl, 1-ethylprop-2-ynyl, 3-methylpent-4-ynyl, 2-methylpent-4- Alkynyl, 1-methylpent-4-ynyl, 2-methylpent-3-ynyl, 1-methylpent-3-ynyl, 4-methylpent-2-ynyl, 1-methyl Kepent-2-ynyl, 4-methylpent-1-ynyl, 3-methylpent-1-ynyl, 2-ethylbut-3-ynyl, 1-ethylbut-3-yne , 1-ethylbut-2-ynyl, 1-propylprop-2-ynyl, 1-isopropylprop-2-ynyl, 2,2-dimethylbut-3-ynyl, 1,1-Dimethylbut-3-ynyl, 1,1-dimethylbut-2-ynyl or 3,3-dimethylbut-1-ynyl. Specifically, the alkynyl group is an ethynyl group, a prop-1-ynyl group or a prop-2-ynyl group.

術語「C3-C6-環烷基」應理解為較佳地意指含有3個、4個、5個或6個碳原子之飽和單價單環或二環烴環。該C3-C6-環烷基係(例如)單環烴環,例如環丙基、環丁基、環戊基或環己基或二環烴環,例如全氫并環戊二烯(perhydropentalenylene)或十氫萘環。該環烷基環可視情況含有一或多個雙鍵,例如環烯基,例如環丙烯基、環丁烯基、環戊烯基或環己烯基,其中該環與該分子其餘部分之間之鍵可結合至該環之任一碳原子,不論該環係飽和或不飽和的。 The term "C 3 -C 6 - cycloalkyl" is understood to mean preferably contains three saturated monovalent monocyclic 4, 5 or 6 carbon atoms of the bicyclic ring or a hydrocarbon ring. The C 3 -C 6 -cycloalkyl group is, for example, a monocyclic hydrocarbon ring such as a cyclopropyl group, a cyclobutyl group, a cyclopentyl group or a cyclohexyl group or a bicyclic hydrocarbon ring such as perhydropentarene (perhydropentalenylene). ) or decahydronaphthalene ring. The cycloalkyl ring may optionally contain one or more double bonds, such as a cycloalkenyl group, such as a cyclopropenyl, cyclobutenyl, cyclopentenyl or cyclohexenyl group, wherein the ring is between the remainder of the molecule The bond can be bonded to any carbon atom of the ring, whether the ring is saturated or unsaturated.

術語「伸烷基」應理解為較佳意指具有1個、2個、3個、4個、5個或6個碳原子之視情況經取代之烴鏈(或「系鏈(tether)」),即視情況經取代之-CH2-(「亞甲基」或「一元系鏈」或例如-C(Me)2-)、-CH2-CH2-(「伸乙基」、「二亞甲基」或「二元系鏈」)、-CH2-CH2-CH2-(「伸丙基」、「三亞甲基」或「三元系鏈」)、-CH2-CH2-CH2-CH2-(「伸丁基」、「四亞甲基」或「四元系鏈」)、-CH2-CH2-CH2-CH2-CH2-(「伸戊基」、「五亞甲基」或「五元系鏈」)或-CH2-CH2-CH2-CH2-CH2-CH2-(「伸己基」、「六亞甲基」或「六元系鏈」)基團。具體而言,該伸烷基系鏈具有1個、2個、3個、4個或5個碳原子、更具體而言1個或2個碳原子。 The term "alkylene" is understood to preferably mean an optionally substituted hydrocarbon chain (or "tether" having one, two, three, four, five or six carbon atoms. ), that is, -CH 2 - ("methylene" or "mono-chain" or such as -C(Me) 2 -), -CH 2 -CH 2 - ("Extended Ethyl", "Dimethylene" or "binary tether"), -CH 2 -CH 2 -CH 2 - ("extended propyl", "trimethylene" or "ternary tether"), -CH 2 -CH 2 -CH 2 -CH 2 - ("Strengthyl", "tetramethylene" or "quaternary tether"), -CH 2 -CH 2 -CH 2 -CH 2 -CH 2 - ("",""pentamethylene" or "five-chain") or -CH 2 -CH 2 -CH 2 -CH 2 -CH 2 -CH 2 - ("extension", "hexamethylene" or "Six dollar chain"). In particular, the alkylene chain has 1, 2, 3, 4 or 5 carbon atoms, more specifically 1 or 2 carbon atoms.

術語「3至8員雜環烷基」應理解為意指飽和單價單環或二環烴環,其含有2個、3個、4個、5個、6個或7個碳原子及一或多個選自以下之含雜原子之基團:C(=O)、O、S、S(=O)、S(=O)2、NRa,其中Ra代表氫原子或C1-C6-烷基-基團或鹵基-C1-C6-烷基;該雜環烷基可經由 碳原子或(若存在)氮原子中之任一者附接至分子之其餘部分。 The term "3 to 8 membered heterocycloalkyl" is understood to mean a saturated monovalent monocyclic or bicyclic hydrocarbon ring containing 2, 3, 4, 5, 6 or 7 carbon atoms and one or a plurality of hetero atom-containing groups selected from the group consisting of C(=O), O, S, S(=O), S(=O) 2 , NRa, wherein R a represents a hydrogen atom or C 1 -C 6 - alkyl - group or halo -C 1 -C 6 - alkyl; the heterocyclic group may be attached to the remainder of the molecule via a (if present) to any carbon atom or a nitrogen atom of a person.

具體而言,該3至8員雜環烷基可含有2個、3個、4個、5個、6個或7個碳原子及一或多個上文所提及含雜原子之基團(「3至8員雜環烷基」),更具體而言該雜環烷基可含有4個或5個碳原子及一或多個上文所提及含雜原子之基團(「5至7員雜環烷基」)。 In particular, the 3 to 8 membered heterocycloalkyl group may contain 2, 3, 4, 5, 6 or 7 carbon atoms and one or more of the above-mentioned hetero atom-containing groups. ("3 to 8 membered heterocycloalkyl"), more specifically the heterocycloalkyl group may contain 4 or 5 carbon atoms and one or more of the above-mentioned hetero atom-containing groups ("5 Up to 7 members of heterocycloalkyl").

具體而言(但不限於),該雜環烷基可為(例如)4員環,例如氮雜環丁基、氧雜環丁基;或5員環,例如四氫呋喃基、二氧雜環戊二烯基、吡咯啶基、咪唑啶基、吡唑啶基;或6員環,例如四氫吡喃基、六氫吡啶基、嗎啉基、二噻烷基、硫嗎啉基、六氫吡嗪基或三噻烷基;或7員環,例如二氮雜環庚基環。視情況,該雜環烷基可為苯並稠合的。 Specifically, but not limited to, the heterocycloalkyl group can be, for example, a 4-membered ring, such as azetidinyl, oxetanyl; or a 5-membered ring, such as tetrahydrofuranyl, dioxolane Dienyl, pyrrolidinyl, imidazolidinyl, pyrazolidinyl; or 6-membered ring, such as tetrahydropyranyl, hexahydropyridyl, morpholinyl, dithiaalkyl, thiomorpholinyl, hexahydro Pyrazinyl or trithiaalkyl; or a 7-membered ring, such as a diazepane ring. Optionally, the heterocycloalkyl group can be benzofused.

該雜環基可為二環,例如(但不限於)5,5員環,例如六氫環戊[c]吡咯-2(1H)-基)環;或5,6員二環,例如六氫吡咯並[1,2-a]吡嗪-2(1H)-基環或例如8-氧雜-3-氮雜二環[3.2.1]辛-3-基環。 The heterocyclic group may be a bicyclic ring such as, but not limited to, a 5,5 membered ring, such as a hexahydrocyclopenta[c]pyrrole-2(1H)-yl) ring; or a 5,6 membered bicyclic ring, such as six Hydropyrrolo[1,2-a]pyrazine-2(1H)-yl ring or, for example, 8-oxa-3-azabicyclo[3.2.1]oct-3-yl ring.

如上文所提及,該含有氮原子之環可為部分不飽和環,即,其可含有一或多個雙鍵,例如(但不限於)2,5-二氫-1H-吡咯基、4H-[1,3,4]噻二嗪基、4,5-二氫噁唑基或4H-[1,4]噻嗪基環;或其可經苯並稠合,例如(但不限於)二氫異喹啉基環。 As mentioned above, the ring containing a nitrogen atom may be a partially unsaturated ring, that is, it may contain one or more double bonds such as, but not limited to, 2,5-dihydro-1H-pyrrolyl, 4H. a [1,3,4]thiadiazinyl, 4,5-dihydrooxazolyl or 4H-[1,4]thiazinyl ring; or it may be benzofused, such as (but not limited to) Dihydroisoquinolinyl ring.

術語「芳基」應理解為較佳地意指具有6個、7個、8個、9個、10個、11個、12個、13個或14個碳原子之芳族或部分芳族單價單環或二環或三環烴環(「C6-C14-芳基」)、具體而言具有6個碳原子之環(「C6-芳基」)(例如苯基或聯苯基團)或具有9個碳原子之環(「C9-芳基」)(例如二氫茚基或茚基)或具有10個碳原子之環(「C10-芳基」)(例如四氫化萘基、二氫萘基或萘基)或具有13個碳原子之環(「C13-芳基」)(例如茀基)或具有14個碳原子之環(「C14-芳基」)(例如蒽基)。芳基之具體實例係以下可能結構中之一者: The term "aryl" is understood to preferably mean an aromatic or partially aromatic monovalent having 6, 7, 8, 9, 10, 11, 12, 13 or 14 carbon atoms. Monocyclic or bicyclic or tricyclic hydrocarbon ring ("C 6 -C 14 -aryl"), specifically a ring having 6 carbon atoms ("C 6 -aryl") (eg phenyl or biphenyl) a ring having 9 carbon atoms ("C 9 -aryl") (eg, indanyl or fluorenyl) or a ring having 10 carbon atoms ("C 10 -aryl") (eg, tetrahydrogenation) Naphthyl, dihydronaphthyl or naphthyl) or a ring having 13 carbon atoms ("C 13 -aryl") (eg fluorenyl) or a ring having 14 carbon atoms ("C 14 -aryl") (eg 蒽基). A specific example of an aryl group is one of the following possible structures:

其中z代表O、S、NH或N(C1-C6-烷基),且*指示該芳基與分子其餘部分之附接點。 Wherein z represents O, S, NH or N(C 1 -C 6 -alkyl), and * indicates the attachment point of the aryl group to the rest of the molecule.

術語「雜芳基」應理解為較佳意指具有5個、6個、7個、8個、9個、10個、11個、12個、13個或14個環原子、具體而言5個或6個或9個或10個原子且含有至少一個可相同或不同之雜原子的單價單環、二環或三環芳香族環系統(「5至14員雜芳基」),該雜原子係(例如)氧、氮或硫,且另外在每一情形下可經苯並稠合。 The term "heteroaryl" is understood to preferably mean 5, 6, 7, 8, 9, 10, 11, 12, 13 or 14 ring atoms, in particular 5 Monovalent monocyclic, bicyclic or tricyclic aromatic ring systems ("5 to 14 membered heteroaryl") having 6 or 9 or 10 atoms and containing at least one hetero atom which may be the same or different, The atomic system is, for example, oxygen, nitrogen or sulfur, and additionally may be benzofused in each case.

具體而言,該雜芳基具有以下結構: Specifically, the heteroaryl group has the following structure:

其視情況經1個、2個或3個R6基團取代,其中:*代表該雜芳基與如上文所定義之通式(I)之化合物之其餘部分之附接點,X代表N或C-R6,X’代表O、S、NH、N-R6、N或C-R6,- 每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或-NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代;- 每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷 基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;- 每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基。 It is optionally substituted by 1, 2 or 3 R 6 groups, wherein: * represents the attachment point of the heteroaryl group to the rest of the compound of formula (I) as defined above, X represents N Or CR 6 , X' represents O, S, NH, NR 6 , N or CR 6 , - each occurrence of R 6 may be the same or different and independently hydrogen atom, halogen atom, C 1 -C 6 -alkyl , C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl , aryl-C 1 -C 6 -alkyl, heteroaryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic group -C 1 -C 6 -alkyl, -C 1 -C 6 -alkyl-OR 7 , -C 1 -C 6 -alkyl-SR 7 , -C 1 -C 6 -alkyl-N(R 7 )(R 7' ) , -C 1 -C 6 -alkyl-C(=O)R 7 , -CN, -C(=O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 )(R 7' ) or -NR 7 C(=O)R 7 , each of which may be substituted by one or more R 8 groups as appropriate ;- Each occurrence of R 7 and R 7 ' may be the same or different and independently hydrogen atom or C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic group -C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; - Each occurrence of R 8 is independently a halogen atom or a nitro group, a hydroxyl group, a cyano group, a methyl group, an ethyl group Base, amine group, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkane , C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 1 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, 3- to 8-membered heterocyclic ring, heterocyclic-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl.

更具體而言,該雜芳基係選自噻吩基、呋喃基、吡咯基、噁唑基、噻唑基、咪唑基、吡唑基、異噁唑基、異噻唑基、噁二唑基、三唑基、噻二唑基、噻-4H-吡唑基等及其苯並衍生物(例如苯並呋喃基、苯並噻吩基、苯並噁唑基、苯並異噁唑基、苯並咪唑基、苯並三唑基、吲唑基、吲哚基、異吲哚基等);或吡啶基、嗒嗪基、嘧啶基、吡嗪基、三嗪基等及其苯並衍生物(例如喹啉基、喹唑啉基、異喹啉基等);或氮基、吲嗪基、嘌呤基等及其苯並衍生物;或啉基、呔嗪基、喹唑啉基、喹喔啉基、萘吡啶基、喋啶基、哢唑基、吖啶基、吩嗪基、吩噻嗪基、吩喔嗪基、基或氧呯基等。 More specifically, the heteroaryl is selected from the group consisting of thienyl, furyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, tri Azolyl, thiadiazolyl, thia-4H-pyrazolyl and the like and benzo derivatives thereof (for example, benzofuranyl, benzothienyl, benzoxazolyl, benzisoxazolyl, benzimidazole Or benzotriazolyl, oxazolyl, fluorenyl, isodecyl, etc.; or pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, triazinyl, etc. and benzo derivatives thereof (for example Quinoline, quinazolinyl, isoquinolinyl, etc.; or nitrogen a base, a pyridazinyl group, a fluorenyl group, etc., and a benzo derivative thereof; or Lolinyl, pyridazinyl, quinazolinyl, quinoxalinyl, naphthylpyridyl, acridinyl, oxazolyl, acridinyl, phenazinyl, phenothiazine, phenazinyl, Base or oxo group.

一般而言且除非另有提及,否則雜芳基或伸雜芳基包括其所有可能的異構物形式,例如其位置異構物。因此,對於一些闡釋性非限制性實例而言,術語吡啶基或伸吡啶基包括吡啶-2-基、伸吡啶-2-基、吡啶-3-基、伸吡啶-3-基、吡啶-4-基及伸吡啶-4-基;或術語噻吩基或伸噻吩基包括噻吩2-基、伸噻吩-2-基、噻吩-3-基及伸噻吩-3-基。 In general and unless otherwise mentioned, a heteroaryl or heteroaryl group includes all possible isomeric forms thereof, such as positional isomers thereof. Thus, for some illustrative, non-limiting examples, the term pyridyl or extended pyridyl includes pyridin-2-yl, pyridin-2-yl, pyridin-3-yl, pyridin-3-yl, pyridine-4 - and pyridyl-4-yl; or the term thienyl or thienyl includes thiophene-2-yl, thiophen-2-yl, thiophen-3-yl and thiophen-3-yl.

本文通篇中所用術語「C1-C6」在(例如)「C1-C6-烷基」或「C1-C6-烷氧基」之定義的背景下應理解為意指具有1個至6個之有限數目之碳原子、即1個、2個、3個、4個、5個或6個碳原子的烷基。應進一 步瞭解,該術語「C1-C6」應闡釋為其中所包含之任何子範圍,例如C1-C6、C2-C5、C3-C4、C1-C2、C1-C3、C1-C4、C1-C5、C1-C6;具體而言C1-C2、C1-C3、C1-C4、C1-C5、C1-C6;更具體而言C1-C4;在「C1-C6-鹵基烷基」或「C1-C6-鹵基烷氧基」之情形下,甚至更具體而言C1-C2The term "C 1 -C 6 " as used throughout this document is understood to mean having the meaning of, for example, "C 1 -C 6 -alkyl" or "C 1 -C 6 -alkoxy". 1 to 6 of a limited number of carbon atoms, that is, an alkyl group of 1, 2, 3, 4, 5 or 6 carbon atoms. It should be further understood that the term "C 1 -C 6 " should be interpreted as any subrange contained therein, such as C 1 -C 6 , C 2 -C 5 , C 3 -C 4 , C 1 -C 2 , C 1 -C 3 , C 1 -C 4 , C 1 -C 5 , C 1 -C 6 ; specifically C 1 -C 2 , C 1 -C 3 , C 1 -C 4 , C 1 -C 5 , C 1 -C 6 ; more specifically C 1 -C 4 ; in the case of "C 1 -C 6 -haloalkyl" or "C 1 -C 6 -haloalkoxy", even more specific For C 1 -C 2 .

類似地,如本文所用,本文通篇中所用術語「C2-C6」在(例如)「C2-C6-烯基」及「C2-C6-炔基」之定義的背景下應理解為意指具有2個至6個之有限數目之碳原子、即2個、3個、4個、5個或6個碳原子的烯基或炔基。應進一步瞭解,該術語「C2-C6」應闡釋為其中所包含之任何子範圍,例如C2-C6、C3-C5、C3-C4、C2-C3、C2-C4、C2-C5;具體而言C2-C3Similarly, as used herein, the term "C 2 -C 6 " as used throughout the text is used in the context of, for example, the definitions of "C 2 -C 6 -alkenyl" and "C 2 -C 6 -alkynyl". It is understood to mean an alkenyl or alkynyl group having from 2 to 6 of a limited number of carbon atoms, ie 2, 3, 4, 5 or 6 carbon atoms. It should be further understood that the term "C 2 -C 6 " should be interpreted as any subrange contained therein, such as C 2 -C 6 , C 3 -C 5 , C 3 -C 4 , C 2 -C 3 , C 2 - C 4 , C 2 - C 5 ; specifically C 2 - C 3 .

此外,如本文所用,本文通篇中所用術語「C3-C6」在(例如)「C3-C6-環烷基」之定義的背景下應理解為意指具有3個至6個之有限數目之碳原子、即3個、4個、5個或6個碳原子的環烷基。應進一步瞭解,該術語「C3-C6」應闡釋為其中所包含之任何子範圍,例如C3-C6、C4-C5、C3-C5、C3-C4、C4-C6、C5-C6;具體而言C3-C6Further, as used herein, the term "C 3 -C 6 " as used throughout the text is understood to mean having 3 to 6 in the context of the definition of "C 3 -C 6 -cycloalkyl", for example. a limited number of carbon atoms, i.e., a cycloalkyl group of 3, 4, 5 or 6 carbon atoms. It should be further understood that the term "C 3 -C 6 " should be interpreted as any subrange contained therein, such as C 3 -C 6 , C 4 -C 5 , C 3 -C 5 , C 3 -C 4 , C 4 - C 6 , C 5 - C 6 ; specifically C 3 - C 6 .

術語「經取代」意指指定原子上之一或多個氫係經來自所指示基團之選擇替代,前提係不超過現有情況下該指定原子之正常價且該取代產生穩定化合物。取代基及/或變量之組合僅在該等組合可產生穩定化合物時才容許存在。 The term "substituted" means that one or more hydrogens on a given atom are replaced by a selection from the indicated group, provided that the normal valence of the specified atom is not exceeded and the substitution results in a stable compound. Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds.

術語「視情況經取代」意指使用指定基團(group或radical)或部分之可選取代。 The term "optionally substituted" means the use of an optional substitution of a specified group (group or radical) or moiety.

環系統取代基意指附接至芳香族或非芳香族環系統且(例如)替代該環系統上之可用氫之取代基。 Ring system substituent means a substituent attached to an aromatic or non-aromatic ring system and, for example, replacing the available hydrogen on the ring system.

如本文中所使用,術語「一或多次」在(例如)本發明化合物(例如化合物A、B或C)之取代基之定義中應理解為意指「1次、2次、3 次、4次或5次、具體而言1次、2次、3次或4次、更具體而言1次、2次或3次、甚至更具體而言1次或2次」。 As used herein, the term "one or more" is understood to mean "1, 2, 3, in the definition of a substituent of, for example, a compound of the invention (eg, compound A, B or C). Next, 4 or 5 times, specifically 1 time, 2 times, 3 times or 4 times, more specifically 1 time, 2 times or 3 times, or even more specifically 1 time or 2 times.

倘若本文中使用詞語組份、化合物、鹽、多晶形物、水合物、溶劑合物及諸如此類之複數形式,則此亦意指單一組份、化合物、鹽、多晶形物、異構物、水合物、溶劑合物或諸如此類。 If a plural component of a component, compound, salt, polymorph, hydrate, solvate or the like is used herein, it also means a single component, compound, salt, polymorph, isomer, hydrated , solvate or the like.

「穩定化合物」或「穩定結構」意指足夠穩健以經受自反應混合物至有用純度之分離並調配成有效治療劑之化合物。 By "stable compound" or "stable structure" is meant a compound that is sufficiently robust to withstand separation from the reaction mixture to a useful purity and formulated into an effective therapeutic.

術語「羰基」係指藉由雙鍵結合至分子之碳原子之氧原子。 The term "carbonyl" refers to an oxygen atom bonded to a carbon atom of a molecule by a double bond.

本發明化合物可含有一或多個不對稱中心,此取決於所期望各個取代基之位置及性質。不對稱碳原子可以(R)及/或(S)組態存在,從而在單一不對稱中心之情形下產生外消旋混合物,且在多個不對稱中心之情形下產生非鏡像異構物混合物。在某些情形下,不對稱亦可因圍繞給定鍵受限旋轉而存在,例如,毗連指定化合物之兩個經取代芳香族環之中心鍵。環上之取代基亦可以順式或反式形式存在。所有該等組態(包括鏡像異構物及非鏡像異構物)皆意欲包括在本發明之範圍內。較佳化合物係彼等產生較合意生物活性者。本發明化合物之單獨的、純淨的或經部分純化之異構物及立體異構物或外消旋或非鏡像異構物混合物亦包括在本發明之範圍內。該等材料之純化及分離可藉由業內已知之標準技術來完成。 The compounds of the invention may contain one or more asymmetric centers depending on the location and nature of the various substituents desired. Asymmetric carbon atoms may be present in ( R ) and/or ( S ) configurations to produce a racemic mixture in the case of a single asymmetric center and to produce a mixture of non-imagewise isomers in the case of multiple asymmetric centers . In some cases, the asymmetry may also be present due to limited rotation around a given bond, for example, the central bond of two substituted aromatic rings adjacent to a given compound. Substituents on the ring may also exist in cis or trans form. All such configurations, including image isomers and non-image isomers, are intended to be included within the scope of the invention. Preferred compounds are those which produce a more desirable biological activity. Individual, pure or partially purified isomers and stereoisomers or mixtures of racemic or non-imagewise isomers of the compounds of the invention are also included within the scope of the invention. Purification and separation of such materials can be accomplished by standard techniques known in the art.

互變異構物有時稱作質子移位互變異構物,其係兩種或更多種藉由氫原子之遷移伴隨一或多個單鍵及一或多個毗鄰雙鍵之切換相關之化合物。本發明化合物可以一或多個互變異構物形式存在。例如,式I化合物可以互變異構物形式Ia、互變異構物形式Ib或互變異構物形式Ic存在或可以該等形式中之任一者之混合物存在。所有該等互變異構物形式皆意欲包括在本發明之範圍內。 Tautomers are sometimes referred to as proton-shifting tautomers, which are two or more compounds that are related to the transfer of a hydrogen atom by one or more single bonds and one or more adjacent double bonds. . The compounds of the invention may exist in one or more tautomeric forms. For example, a compound of formula I may exist in tautomeric form Ia , tautomeric form Ib or tautomeric form Ic or may be present as a mixture of any of these forms. All such tautomeric forms are intended to be included within the scope of the invention.

本發明亦係關於本文所揭示化合物之有用形式,例如各實例之所有化合物之醫藥上可接受之鹽、共沈澱物、代謝物、水合物、溶劑合物及前藥。術語「醫藥上可接受之鹽」係指本發明化合物之相對無毒、無機或有機酸加成鹽。例如參見S.M.Berge等人,「Pharmaceutical Salts,」J.Pharm.Sci.1977,66,1-19。醫藥上可接受之鹽包括彼等藉由使以鹼形式起作用之主要化合物與無機或有機酸反應形成鹽而獲得者,例如,鹽酸、硫酸、磷酸、甲磺酸、樟腦磺酸、草酸、馬來酸、琥珀酸及檸檬酸之鹽。醫藥上可接受之鹽亦包括彼等主要化合物以酸形式起作用且與合適鹼反應而形成(例如)鈉、鉀、鈣、鎂、銨及氯鹽者。熟悉此項技術者應進一步認識到,所主張化合物之酸加成鹽可藉由使化合物與合適的無機或有機酸經由多種習知方法中之任一者反應來製備。另一選擇為,本發明之酸性化合物之鹼金屬鹽及鹼土金屬鹽係藉由使本發明化合物與適宜鹼經由多種已知方法來製備。 The invention also relates to useful forms of the compounds disclosed herein, such as pharmaceutically acceptable salts, coprecipitates, metabolites, hydrates, solvates, and prodrugs of all compounds of the various examples. The term "pharmaceutically acceptable salt" refers to a relatively non-toxic, inorganic or organic acid addition salt of a compound of the invention. See , for example, SM Berge et al., "Pharmaceutical Salts," J. Pharm . Sci. 1977, 66, 1-19. The pharmaceutically acceptable salts include those obtained by reacting a main compound which acts in a base form with an inorganic or organic acid to form a salt, for example, hydrochloric acid, sulfuric acid, phosphoric acid, methanesulfonic acid, camphorsulfonic acid, oxalic acid, A salt of maleic acid, succinic acid and citric acid. Pharmaceutically acceptable salts also include those in which the main compound acts in acid form and reacts with a suitable base to form, for example, sodium, potassium, calcium, magnesium, ammonium and chloride salts. Those skilled in the art will further recognize that acid addition salts of the claimed compounds can be prepared by reacting the compound with a suitable inorganic or organic acid via any of a variety of conventional methods. Alternatively, the alkali metal and alkaline earth metal salts of the acidic compounds of the present invention can be prepared by subjecting the compounds of the present invention to a suitable base via various known methods.

本發明化合物之代表性鹽包括藉由熟悉此項技術者所熟知之方式自(例如)無機或有機酸或鹼形成之習用無毒性鹽及四級銨鹽。例如,該等酸加成鹽包括乙酸鹽、己二酸鹽、海藻酸鹽、抗壞血酸鹽、天冬胺酸鹽、苯甲酸鹽、苯磺酸鹽、硫酸氫鹽、丁酸鹽、檸檬酸鹽、樟腦酸鹽、樟腦磺酸鹽、肉桂酸鹽、環戊丙酸鹽、二葡萄糖酸鹽、十二烷基硫酸鹽、乙磺酸鹽、富馬酸鹽、葡庚酸鹽、甘油磷酸鹽、半硫酸鹽、庚酸鹽、己酸鹽、氯化物、溴化物、碘化物、2-羥基乙磺酸鹽、衣康酸鹽、乳酸鹽、馬來酸鹽、扁桃酸鹽、甲磺酸鹽、2-萘磺酸 鹽、菸鹼酸鹽、硝酸鹽、草酸鹽、雙羥萘酸鹽、果膠酸鹽、過硫酸鹽、3-苯基丙酸鹽、苦味酸鹽、新戊酸鹽、丙酸鹽、琥珀酸鹽、磺酸鹽、硫酸鹽、酒石酸鹽、硫氰酸鹽、甲苯磺酸鹽及十一烷酸鹽。 Representative salts of the compounds of this invention include the conventional non-toxic salts and quaternary ammonium salts formed from, for example, inorganic or organic acids or bases by methods well known to those skilled in the art. For example, such acid addition salts include acetates, adipates, alginates, ascorbates, aspartates, benzoates, besylate, hydrogen sulfate, butyrate, citric acid Salt, camphorate, camphor sulfonate, cinnamate, cyclopentanoate, digluconate, lauryl sulfate, ethanesulfonate, fumarate, glucoheptonate, glycerophosphoric acid Salt, hemisulfate, heptanoate, hexanoate, chloride, bromide, iodide, 2-hydroxyethanesulfonate, itaconate, lactate, maleate, mandelate, methane Acid salt, 2-naphthalenesulfonic acid Salt, nicotinic acid salt, nitrate, oxalate, pamoate, pectate, persulfate, 3-phenylpropionate, picrate, pivalate, propionate, Succinate, sulfonate, sulfate, tartrate, thiocyanate, tosylate and undecanoate.

鹼鹽包括鹼金屬鹽,例如鉀鹽及鈉鹽;鹼土金屬鹽,例如鈣鹽及鎂鹽;及與有機鹼之銨鹽,例如二環己基胺及N-甲基-D-葡萄糖胺。另外,鹼性含氮基團可用諸如以下試劑進行四級銨化:低碳數烷基鹵化物,例如甲基、乙基、丙基或丁基氯化物、溴化物及碘化物;硫酸二烷基酯,例如硫酸二甲酯、硫酸二乙酯、硫酸二丁酯或硫酸二戊酯;長鏈鹵化物,例如癸基、月桂基、肉豆蔻基及硬脂基之氯化物、溴化物及碘化物;芳烷基鹵化物,例如苄基溴化物及苯乙基溴化物及其他。 The alkali salt includes alkali metal salts such as potassium salts and sodium salts; alkaline earth metal salts such as calcium salts and magnesium salts; and ammonium salts with organic bases such as dicyclohexylamine and N-methyl-D-glucosamine. Alternatively, the basic nitrogen-containing group can be subjected to quaternization with a reagent such as a lower alkyl halide such as methyl, ethyl, propyl or butyl chloride, bromide and iodide; a base such as dimethyl sulfate, diethyl sulfate, dibutyl sulfate or diamyl sulfate; long chain halides such as sulfhydryl, lauryl, myristyl and stearyl chlorides, bromides and Iodide; aralkyl halides such as benzyl bromide and phenethyl bromide and others.

出於本發明之目的,溶劑合物係溶劑與本發明化合物之呈固態形式之複合物。實例性溶劑合物可包括(但不限於)本發明化合物與乙醇或甲醇之複合物。水合物係溶劑為水之特定溶劑合物形式。 For the purposes of the present invention, a solvate is a complex of a solvent with a compound of the invention in solid form. Exemplary solvates can include, but are not limited to, complexes of the compounds of the invention with ethanol or methanol. The hydrated solvent is in the form of a specific solvate of water.

除非另有說明,否則視情況如本文所述取代之組份可在任一位置處彼此獨立地取代一或多次。當任一變量在任一組份中出現一次以上時,每一定義均係獨立的。 Unless otherwise stated, components substituted as described herein may be substituted one or more times independently of each other at any position. When any variable appears more than once in any component, each definition is independent.

除非另有說明,否則本文所提及雜芳基或雜環基可在任一可能位置處(例如在任一可取代環碳或環氮原子處)經其給定取代基或母體分子基團取代。類似地,應瞭解,若在化學上適宜,則任一雜芳基或雜環基均可經由任一適宜原子附接至分子之其餘部分。除非另有說明,否則假定具有本文所提及不飽和化合價之雜芳基環的任一雜原子具有氫原子以使該等化合價飽和。除非另有說明,否則含有可四級銨化胺基型或亞胺基型環氮原子(-N=)之環在該等胺基型或亞胺基型環氮原子上較佳可不經所提及取代基或母體分子基團四級銨化。 Unless otherwise indicated, a heteroaryl or heterocyclyl as referred to herein may be substituted at any of its possible positions (eg, at any substitutable ring carbon or ring nitrogen atom) via its given substituent or parent molecular group. Similarly, it will be appreciated that any chemically suitable heteroaryl or heterocyclic group can be attached to the remainder of the molecule via any suitable atom. Unless otherwise stated, any heteroatom of a heteroaryl ring having an unsaturated valence as referred to herein is assumed to have a hydrogen atom to saturate the valences. Unless otherwise stated, a ring containing a quaternizable ammonium or imido ring nitrogen atom (-N=) is preferably not preferred on the amine or imido ring nitrogen atom. Reference is made to a quaternary ammonium group of a substituent or a parent molecular group.

較佳化合物係產生更合意生物活性之彼等。本發明化合物之單 獨的、純淨的或經部分純化之異構物及立體異構物或外消旋或非鏡像異構物混合物亦包括在本發明之範圍內。該等物質之純化及分離可藉由熟習此項技術者已知之標準技術來實現。 Preferred compounds produce a more desirable biological activity. Single compound of the invention Individual, pure or partially purified isomers and stereoisomers or mixtures of racemic or non-image isomers are also included within the scope of the invention. Purification and isolation of such materials can be accomplished by standard techniques known to those skilled in the art.

光學異構物可藉由根據習用方法(例如藉由使用光學活性酸或鹼形成非鏡像異構物鹽,或形成共價非鏡像異構物)拆分外消旋混合物獲得。適宜酸之實例係酒石酸、二乙醯基酒石酸、二甲苯醯基酒石酸及樟腦磺酸。非鏡像異構物之混合物可基於其物理及/或化學差異藉由業內已知之方法(例如,藉由層析或分級結晶)分離成其個別非鏡像異構物。然後自所分離非鏡像異構物鹽釋放光學活性鹼或酸。分離光學異構物之不同製程涉及使用利用或不利用習用衍生化之對掌性層析(例如,對掌性HPLC管柱),其經最佳化選擇以使鏡像異構物之分離最大化。適宜對掌性HPLC管柱(尤其例如Chiracel OD及Chiracel OJ)係由Diacel製造,其皆可以常規方式選擇。亦可使用利用或不利用衍生化之酶分離。本發明之光學活性化合物同樣可利用光學活性起始材料藉由對掌性合成來獲得。 Optical isomers can be obtained by resolution of the racemic mixture according to conventional methods, for example, by formation of a non-imagewise isomer salt using an optically active acid or base, or formation of a covalent non-image isomer. Examples of suitable acids are tartaric acid, diethyl tartaric acid, xylyl tartaric acid and camphorsulfonic acid. Mixtures of non-imageomers may be separated into their individual non-image isomers based on their physical and/or chemical differences by methods known in the art (e.g., by chromatography or fractional crystallization). The optically active base or acid is then released from the separated non-image isomer salt. Different processes for isolating optical isomers involve the use of a palm chromatography (eg, a palmitic HPLC column) with or without conventional derivatization, which is optimized to maximize separation of the mirror image isomers. . Suitable palm-shaped HPLC columns (especially Chirall OD and Chiracel OJ, for example) are manufactured by Diacel, all of which can be selected in a conventional manner. Separation of the enzyme with or without derivatization can also be used. The optically active compounds of the present invention can likewise be obtained by palm-forming synthesis using optically active starting materials.

若在本發明之背景下提及「實施例」,則應瞭解其包括複數個可能組合。 If an "embodiment" is mentioned in the context of the present invention, it should be understood that it includes a plurality of possible combinations.

為限制彼此不同類型之異構物,參照IUPAC Rules Section E(Pure Appl Chem 45,11-30,1976)。 To limit the different types of isomers, refer to IUPAC Rules Section E (Pure Appl Chem 45, 11-30, 1976).

本發明亦包含本發明化合物之所有適宜同位素變化形式。本發明化合物之同位素變化形式定義為至少一個原子經具有相同原子序數但原子質量不同於通常或主要在自然界中發現之原子質量的原子替代者。可納入本發明化合物中之同位素之實例包括氫、碳、氮、氧、磷、硫、氟、氯、溴及碘之同位素,分別為例如2H(氘)、3H(氚)、11C、13C、14C、15N、17O、18O、32P、33P、33S、34S、35S、36S、18F、36Cl、82Br、123I、124I、129I及131I。本發明化合物之某些同位素變化形 式,例如彼等納入一或多個放射性同位素(例如3H或14C)者,可用於藥物及/或基質組織分佈研究中。含氚及碳-14(亦即14C)之同位素因其易於製備及可檢測性而尤佳。此外,用諸如氘等同位素進行取代因具有更強之代謝穩定性從而可提供某些治療優點,例如活體內半衰期延長或劑量需要減少,且因此可在一些情況下較佳。本發明化合物之同位素變化形式通常可藉由熟習此項技術者已知之習用程序(例如藉由說明性方法)或藉由下文實例中所闡述之製備使用適宜試劑之適宜同位素變化形式來製備。 The invention also encompasses all suitable isotopic variations of the compounds of the invention. An isotopic variation of a compound of the invention is defined as an atomic substitution of at least one atom by atomic mass having the same atomic number but differing in atomic mass from that found generally or predominantly in nature. Examples of isotopes which may be incorporated into the compounds of the invention include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, sulfur, fluorine, chlorine, bromine and iodine, for example 2 H(氘), 3 H(氚), 11 C, respectively. , 13 C, 14 C, 15 N, 17 O, 18 O, 32 P, 33 P, 33 S, 34 S, 35 S, 36 S, 18 F, 36 Cl, 82 Br, 123 I, 124 I, 129 I and 131 I. Certain isotopic variations of the compounds of the invention, such as those incorporating one or more radioisotopes (e.g., 3 H or 14 C), can be used in drug and/or matrix tissue distribution studies. Isotope containing bismuth and carbon-14 (i.e., 14 C) is preferred for its ease of preparation and detectability. In addition, substitution with isotopes such as hydrazine may provide certain therapeutic advantages due to greater metabolic stability, such as increased in vivo half-life or reduced dosage requirements, and thus may be preferred in some circumstances. Isotopic variations of the compounds of the invention can generally be prepared by conventional procedures known to those skilled in the art (e.g., by illustrative methods) or by the preparation of suitable isotopic variations using suitable reagents as set forth in the Examples below.

本發明包括本發明化合物之所有可能的立體異構物,其呈單一立體異構物或呈該等立體異構物之任何比率的任何混合物。本發明化合物之單一立體異構物(例如單一鏡像異構物或單一非鏡像異構物)的分離可藉由任何適宜新式方法(例如層析,尤其對掌性層析)來達成。 The invention includes all possible stereoisomers of the compounds of the invention, either as a single stereoisomer or in any ratio of any ratio of such stereoisomers. Isolation of a single stereoisomer of a compound of the invention (e.g., a single mirror image isomer or a single mirror image isomer) can be accomplished by any suitable novel method (e.g., chromatography, especially for palm chromatography).

本發明包括本發明化合物之所有可能的互變異構物,其呈單一互變異構物或呈該等互變異構物之任何比率的任何混合物形式。 The invention includes all possible tautomers of the compounds of the invention, either as a single tautomer or in any mixture in any ratio of such tautomers.

此外,本發明包括本發明化合物之所有可能的結晶形式或多晶形物,其呈單一多晶形物或呈任何比率之一種以上多晶形物之混合物。 Furthermore, the invention includes all possible crystalline forms or polymorphs of the compounds of the invention in the form of a single polymorph or a mixture of more than one polymorph in any ratio.

術語「連續投藥」、「每日投藥」或「連續治療」應理解為如下投藥方案:其中自利用PI3K抑制劑治療開始之日期直至利用PI3K抑制劑之治療完成及/或停止之日期為止,每天(即沒有不投與PI3K抑制劑之日期)投與PI3K抑制劑之劑量,或在PI3K抑制劑之兩個連續劑量之投與之間不超過一天。一天應理解為24小時之時段。劑量之投與可在任一時段(例如上午、下午、晚上等)或在當天之任一時間進行。在利用PI3K抑制劑進行治療期間,PI3K抑制劑之劑量之投與可在每一天當天之同一時間或時段進行。在利用PI3K抑制劑進行治療期間,投與可在每一天當天之不同時段或時間進行。PI3K抑制劑之每日投藥可 在每一天以PI3K抑制劑之一個單一劑量(即每天一次)或以PI3K抑制劑之兩個或更多個劑量(每天兩次、每天三次等)進行。 The terms "continuous administration", "daily administration" or "continuous treatment" are to be understood as the following administration regimen: from the date of initiation of treatment with a PI3K inhibitor until the date of completion and/or cessation of treatment with a PI3K inhibitor, daily (ie, no date of administration of the PI3K inhibitor) dose of the PI3K inhibitor, or no more than one day between the administration of two consecutive doses of the PI3K inhibitor. One day should be understood as a 24-hour period. Dosing of the dose can be performed at any time (eg, morning, afternoon, evening, etc.) or at any time of the day. The administration of the dose of the PI3K inhibitor during the treatment with the PI3K inhibitor can be performed at the same time or time of day on each day. During treatment with a PI3K inhibitor, administration can be performed at different times or times on each day of the day. Daily administration of PI3K inhibitors Each day is performed in a single dose of PI3K inhibitor (i.e., once daily) or as two or more doses of PI3K inhibitor (twice per day, three times daily, etc.).

術語「間歇投藥(時間表)」、「間歇投與」應理解為包含以下之投藥方案/時間表:- 每天投與PI3K抑制劑之劑量達1至5天之時段之時段,- 隨後不投與PI3K抑制劑或投與安慰劑之3至6天之時段,該兩個時段之總天數一起構成「投與循環」。 The terms "intermittent dosing (schedule)" and "intermittent dosing" should be understood to include the following dosing regimens/schedules: - a daily dose of a PI3K inhibitor for a period of 1 to 5 days, - not subsequently The total number of days between the two time periods together with the PI3K inhibitor or the placebo is 3 to 6 days, which constitutes a "dose cycle."

出於本發明之目的,在投與循環期間投與PI3K抑制劑之日期亦可稱為「給藥日」。出於本發明之目的,在投與循環期間不投與PI3K或投與安慰劑之日期亦可稱為「停藥日」。 For the purposes of the present invention, the date of administration of the PI3K inhibitor during the administration cycle may also be referred to as the "dosing day." For the purposes of the present invention, the date of not administering PI3K or administering a placebo during the administration cycle may also be referred to as a "discontinuation day."

因此,本發明之間歇投藥可闡述為以下:- 在投與循環中,給藥1至5天(其中每天均投與PI3K抑制劑),- 隨後停藥3至6天(其中不投與PI3K抑制劑或投與安慰劑),根據本發明之給藥日及停藥日之任何亞組合可以相同方式表示(例如兩個給藥日隨後5停藥日)。 Thus, the intermittent administration of the present invention can be formulated as follows: - in the administration cycle, administration for 1 to 5 days (wherein the PI3K inhibitor is administered daily), - followed by withdrawal for 3 to 6 days (where PI3K is not administered) Inhibitor or placebo), any sub-combination of the dosing and withdrawal days according to the present invention may be expressed in the same manner (e.g., two dosing days followed by 5 dosing days).

本發明之間歇投藥亦可闡述為以下:在投與循環中,給藥1至5天/停藥3至6天。根據本發明之給藥日及停藥日之任何亞組合可以相同方式表示(例如給藥2天/停藥5天)。 The intermittent administration of the present invention can also be stated as follows: in the administration cycle, administration is carried out for 1 to 5 days / withdrawal for 3 to 6 days. Any sub-combination of the dosing day and the withdrawal date according to the present invention can be expressed in the same manner (e.g., 2 days of administration/5 days of withdrawal).

本發明之間歇投藥亦可闡述為以下:- 投與PI3K抑制劑達1至5個連續天數;- 隨後不投與PI3K抑制劑之3至6天之時段。 The intermittent administration of the present invention can also be stated as follows: - administration of a PI3K inhibitor for 1 to 5 consecutive days; - a period of 3 to 6 days after which no PI3K inhibitor is administered.

根據本發明之連續的投與PI3K抑制劑之日期(給藥日)及不投與PI3K之日期(停藥日)之任何亞組合可以相同方式表示(例如投與PI3K抑制劑達兩個連續日,隨後在5天之時段中不投與PI3K抑制劑)。 Any sub-combination of the date of administration of the PI3K inhibitor (dosing day) and the date of non-administration of PI3K (discontinuation day) according to the present invention may be expressed in the same manner (eg, administration of a PI3K inhibitor for two consecutive days) Then, no PI3K inhibitor was administered during the 5-day period).

含有PI3K抑制劑之劑量之投與可在當天之任一時段(例如上午、下午、晚上等)或在任一時間進行。在利用PI3K抑制劑之治療期間, PI3K抑制劑之劑量之投與可在投與PI3K之每一天當天之同一時間或時段進行。在利用PI3K抑制劑之治療期間,投與可在投與PI3K之每一天當天之不同時段或時間進行,在該情形下在兩個連續日中投與PI3K抑制劑之間消逝之時間可小於或大於24小時。PI3K抑制劑之每日投藥可在投與其之每一天以PI3K抑制劑之一個單一劑量(即每天一次)或在投與其之每一天以PI3K抑制劑之兩個或更多個劑量(每天兩次、每天三次等)進行。 The administration of the dose containing the PI3K inhibitor can be carried out at any time of the day (e.g., morning, afternoon, evening, etc.) or at any time. During treatment with PI3K inhibitors, The administration of the dose of the PI3K inhibitor can be carried out at the same time or time of day on the day of administration of PI3K. During treatment with a PI3K inhibitor, administration can occur at different times or times on the day of administration of PI3K, in which case the elapsed time between administration of the PI3K inhibitor over two consecutive days can be less than or More than 24 hours. The PI3K inhibitor can be administered daily at a single dose of the PI3K inhibitor (i.e., once daily) or two or more doses of the PI3K inhibitor per day (twice per day) , three times a day, etc.).

術語「投與循環」應理解為包含以下之總天數:- 每天投與PI3K抑制劑之劑量達1至5天之時段之時段,-隨後不投與式(I)化合物或投與安慰劑之3至6天之時段,其中該投與循環耗費總共4天(即1個給藥日隨後3個停藥日)至11天(即5個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 The term "administration cycle" is understood to include the total number of days: - the period of time during which the dose of PI3K inhibitor is administered for a period of 1 to 5 days - followed by the administration of a compound of formula (I) or administration of a placebo A period of 3 to 6 days, wherein the administration cycle takes a total of 4 days (ie, 3 dosing days after 1 dosing day) to 11 days (ie, 5 dosing days followed by 6 drug withdrawal days). This depends on the number of days of administration and the number of days of withdrawal.

自利用PI3K抑制劑治療之日期開始直至完成及/或停止利用PI3K抑制劑之治療之日期為止,可能必須實施一或多個本發明投與循環(即間歇投藥)以達成適宜或改良之治療效應(在該情形下,根據本發明,其亦可闡述為「治療係重複X個投與循環」,X為介於1與4之間之任一數值(即總共2至5個投與循環),或根據本發明,當投與循環由7天組成時,其亦可闡述為「治療係重複(每週)X個週」,X為介於1與4之間之任一數值)。例如,基於(例如)本說明書中所提供之非限制性實例及/或基於患者對治療之反應及/或易於獲得之適宜技術/方法,熟習此項技術者習知如何建立投與循環及(若需要)(例如在治療期間)如何調節可能需要之投與循環數。 One or more of the present administration cycles (ie, intermittent dosing) may be necessary to achieve a suitable or improved therapeutic effect from the date of treatment with the PI3K inhibitor until the date of completion and/or discontinuation of treatment with the PI3K inhibitor. (In this case, according to the invention, it may also be stated as "the treatment system repeats X administration cycles", and X is any value between 1 and 4 (ie a total of 2 to 5 administration cycles) Or, according to the present invention, when the administration cycle consists of 7 days, it can also be stated as "the treatment system repeats (weekly) X weeks", and X is any value between 1 and 4. For example, based on, for example, the non-limiting examples provided in this specification and/or based on the patient's response to treatment and/or suitable techniques/methods that are readily available, those skilled in the art are familiar with how to establish a dosing cycle and How to adjust the number of cycles that may be required if needed (eg during treatment).

術語「中斷」或「中斷時段」應理解為在投與循環之後或在其之前不投與式(I)化合物或投與安慰劑之一或多天(通常4至8天)。例如,在完成投與循環後(即在3至6個停藥日後),正常細胞中PI3K激酶 功能之恢復可能需要額外4至8天,之後開始新的投與循環。其亦可闡述為(例如)「4至8天不投與PI3K抑制劑」或根據本發明之任一中斷時段進行適當調整。當中斷時段由7天組成時,其亦可闡述為(例如)「1週不投與PI3K抑制劑」。 The term "interruption" or "interruption period" is understood to mean not administering the compound of formula (I) or administering a placebo for one or more days (usually 4 to 8 days) after or prior to the administration cycle. For example, PI3K kinase in normal cells after completion of the administration cycle (ie after 3 to 6 drug withdrawal days) The recovery of the function may take an additional 4 to 8 days before starting a new cycle of investment. It can also be stated as, for example, "no dose of PI3K inhibitor for 4 to 8 days" or appropriate adjustment according to any interruption period of the present invention. When the interruption period consists of 7 days, it can also be stated as, for example, "do not administer a PI3K inhibitor for 1 week."

例如,在本發明之具體實施例中,當根據給藥2天/停藥5天的間歇時間表(其中將投與循環重複三次,隨後係7天之中斷時段)投與用於治療癌症之PI3K抑制劑(例如化合物A1)時,其亦可闡述為以下:-將治療癌症之PI3K投與兩個連續日,隨後在5天之時段中不投與PI3K抑制劑,每週重複該治療達3週,隨後1週不投與PI3K抑制劑。 For example, in a specific embodiment of the present invention, administration is carried out for the treatment of cancer according to an intermittent schedule of 2 days of administration/discontinuation for 5 days, in which the administration cycle is repeated three times, followed by a 7-day interruption period. In the case of a PI3K inhibitor (eg Compound A1), it can also be stated as follows: - PI3K for the treatment of cancer is administered for two consecutive days, followed by no administration of the PI3K inhibitor over a period of 5 days, the treatment being repeated weekly Three weeks, followed by one week without PI3K inhibitor.

本發明之所有具體實施例皆可根據上述實例來闡述,根據如針對所述實施例定義之給藥日、停藥日、投與循環之最後重複及中斷時段之最後額外日期的各別數量來適當地調整。 All of the specific embodiments of the present invention can be illustrated in accordance with the above examples, based on the respective number of dosing days, drug withdrawal days, last cycles of the administration cycle, and last additional dates of the interruption period as defined for the embodiments. Adjust appropriately.

如本文通篇(例如在定義其中投與式(I)化合物(向患者)(即給藥日)之天數(在每一投與循環中)之背景下)所使用,術語「1至5天」應理解為意指1個、2個、3個、4個或5個連續日。應進一步瞭解,該術語「1至5天」應闡釋為其中所包含之任一子範圍,例如1至4天、1至3天、1至2天、2至5天、2至4天、2至3天、3至5天、3至4天、4至5天等。本發明係關於所有該等子範圍。 As used throughout the text (eg, in the context of defining the number of days in which a compound of Formula (I) (to a patient) (ie, the date of administration) is administered (in the context of each administration cycle), the term "1 to 5 days" "It should be understood to mean 1, 2, 3, 4 or 5 consecutive days. It should be further understood that the term "1 to 5 days" should be interpreted as any subrange included therein, such as 1 to 4 days, 1 to 3 days, 1 to 2 days, 2 to 5 days, 2 to 4 days, 2 to 3 days, 3 to 5 days, 3 to 4 days, 4 to 5 days, and the like. The present invention is directed to all such sub-ranges.

類似地,如本文通篇(例如在定義其中不投與式(I)化合物(向患者)或投與安慰劑(即停藥日)之天數(在每一投與循環中)之背景下)所使用,術語「3至6天」應理解為意指3個、4個、5個或6個連續日。應進一步瞭解,該術語「3至6天」應闡釋為其中所包含之任一子範圍,例如3至6天、3至5天、3至4天、4至6天、4至5天、5至6天等。本發明係關於所有該等子範圍。 Similarly, as described throughout the text (eg, in the context of defining the number of days in which a compound of formula (I) is administered (to a patient) or a placebo (ie, a day of withdrawal) (in the context of each administration cycle) As used, the term "3 to 6 days" is understood to mean 3, 4, 5 or 6 consecutive days. It should be further understood that the term "3 to 6 days" should be interpreted as any subrange included therein, such as 3 to 6 days, 3 to 5 days, 3 to 4 days, 4 to 6 days, 4 to 5 days, 5 to 6 days, etc. The present invention is directed to all such sub-ranges.

現將參考附圖來闡述本發明。 The invention will now be elucidated with reference to the drawings.

圖1.利用化合物A1之不同投藥時間表治療之GXA3027患者源性胃腫瘤模型中之PI3K路徑抑制。Figure 1. PI3K pathway inhibition in a GXA3027 patient-derived gastric tumor model treated with different dosing schedules for Compound A1.

將患者源性GXA 3027胃癌細胞以皮下方式(s.c.)植入NMRI裸小鼠上。當腫瘤達到約700mm3之大小時,以75mg/kg、QD(每天一次,A及D)或450mg/kg、QW(每週一次,B及E)或200mg/kg給藥2天/停藥5天(C及F)給予化合物A1。利用所指示劑量及投藥時間表經口投與化合物A1。評價腫瘤中p-AKT(A、B及C)及p-RAS40(D、E及F)之含量。 Patient-derived GXA 3027 gastric cancer cells were implanted subcutaneously (sc) into NMRI nude mice. When the tumor reaches a size of about 700 mm 3 , it is administered at 75 mg/kg, QD (once a day, A and D) or 450 mg/kg, QW (weekly, B and E) or 200 mg/kg for 2 days / withdrawal. Compound A1 was administered for 5 days (C and F). Compound A1 was orally administered using the indicated dose and schedule of administration. The contents of p-AKT (A, B and C) and p-RAS40 (D, E and F) in the tumor were evaluated.

圖2. 在經化合物A1之不同投藥時間表治療之具有GXA3027腫瘤之小鼠中血漿中之PI3K抑制劑化合物A1暴露及腫瘤中之p-PRAS40之關係。Figure 2. Relationship between PI3K inhibitor Compound A1 exposure in plasma and p-PRAS40 in tumors in mice bearing GXA3027 tumors treated with different drug administration schedules.

化合物A1之連續及間歇治療之PK/PD關係。在第1次投與後之指示時間量測化合物A1之暴露(A)及p-PRAS40之抑制(B)。 PK/PD relationship of continuous and intermittent treatment of Compound A1. Exposure of compound A1 (A) and inhibition of p-PRAS40 (B) were measured at the indicated time after the first administration.

圖3.藉由利用不同時間表投藥之化合物A1對腫瘤存活之活體內抑制。Figure 3. In vivo inhibition of tumor survival by Compound A1 administered using different schedules.

將患者源性GXA 3027胃癌細胞以皮下方式(s.c.)植入NMRI裸小鼠上。當腫瘤達到約700mm3之大小時,以75mg/kg、QD(每天一次連續地,A及D)或450mg/kg、QW(每週一次,B及E)或200mg/kg給藥2天/停藥5天(C及F)給予化合物A1。以指示劑量及投藥時間表每天一次經口投與化合物A1。評價腫瘤中經活化半胱天冬酶3(A、B及C)、經裂解PARP(D、E及F)之含量及腫瘤生長抑制以及反應率(G)。 Patient-derived GXA 3027 gastric cancer cells were implanted subcutaneously (sc) into NMRI nude mice. When the tumor reaches a size of about 700 mm 3 , it is administered at 75 mg/kg, QD (once a day, A and D) or 450 mg/kg, QW (weekly, B and E) or 200 mg/kg for 2 days/ Compound A1 was administered for 5 days (C and F). Compound A1 was orally administered once a day in the indicated dose and schedule. The levels of activated caspase 3 (A, B and C), cleavage of PARP (D, E and F) and tumor growth inhibition and response rate (G) were evaluated in tumors.

圖4.在裸大鼠中在KPL4乳房腫瘤細胞系異種移植物模型中化合物A1之功效。Figure 4. Efficacy of Compound A1 in a KPL4 breast tumor cell line xenograft model in nude rats.

將KPL4細胞以皮下方式(s.c.)植入裸大鼠上。當腫瘤達到約30mm2之大小時,隨機分配該等動物且以15mg/kg、QD連續地或105mg/kg、QW(每週一次)或55mg/kg給藥2天/停藥5天給予化合物A1。 A)腫瘤生長抑制曲線;B)在治療時段期間之體重變化;C)治療結束時之腫瘤重量。 KPL4 cells were implanted subcutaneously (sc) into nude rats. When the tumor reached a size of about 30 mm 2 , the animals were randomly assigned and administered with 15 mg/kg, QD continuously or 105 mg/kg, QW (weekly) or 55 mg/kg for 2 days/dose for 5 days. A1. A) tumor growth inhibition curve; B) body weight change during the treatment period; C) tumor weight at the end of treatment.

圖5.在裸小鼠中在患者源性GXA3027胃癌異種移植物模型中化合物A1之功效。Figure 5. Efficacy of Compound A1 in a patient-derived GXA3027 gastric cancer xenograft model in nude mice.

將患者源性GXA 3027胃癌細胞以皮下方式(s.c.)植入NMRI裸小鼠上。當腫瘤達到約140mm3之大小時,隨機分配該等動物且利用如表7中所指示之投藥方案及時間表作為單一藥劑或與順鉑及卡培他濱組合給予化合物A1。呈現治療結束時每一個別動物之腫瘤重量。另外,利用等式[1-(T-T0/C-T0)]×100計算相對腫瘤生長抑制(TGI),其中T及C分別代表治療組(T)及對照組(C)中腫瘤之平均大小,且T0係指隨機分配時之腫瘤大小。另外,藉助臨床使用之RECIST準則評估治療反應;作為具有完全反應或部分反應之動物之百分比計算反應率(RR)。 Patient-derived GXA 3027 gastric cancer cells were implanted subcutaneously (sc) into NMRI nude mice. When the tumor reached a size of about 140 mm 3 , the animals were randomly assigned and Compound A1 was administered as a single agent or in combination with cisplatin and capecitabine using the dosing schedule and schedule as indicated in Table 7. The tumor weight of each individual animal at the end of treatment is presented. In addition, the relative tumor growth inhibition (TGI) was calculated using the equation [1-(T-T0/C-T0)] × 100, where T and C represent the average of tumors in the treatment group (T) and the control group (C), respectively. Size, and T0 refers to the size of the tumor when randomly assigned. In addition, the treatment response was assessed by means of clinically used RECIST criteria; the response rate (RR) was calculated as a percentage of animals with complete or partial responses.

根據本發明之實施例,PI3K抑制劑係上述式(I)化合物,其中R1代表-(CH2)n-(CHR4)-(CH2)m-N(R5)(R5’);R2代表以下結構之雜芳基: According to an embodiment of the invention, the PI3K inhibitor is a compound of the above formula (I), wherein R 1 represents -(CH 2 ) n -(CHR 4 )-(CH 2 ) m -N(R 5 )(R 5' ) ; R 2 represents a heteroaryl group of the following structure:

其中:*代表該雜芳基與通式(I)之結構之其餘部分之附接點;R3係甲基;R4係羥基;R5及R5’相同或不同且彼此獨立地係氫原子或C1-C6-烷基、C3-C6- 環烷基-C1-C6-烷基或C1-C6-烷氧基-C1-C6-烷基,或R5及R5’與其所結合之氮原子一起代表3至7員含氮雜環,該雜環視情況含有至少一個選自氧、氮或硫之其他雜原子且其可視情況經1個或多個R6’基團取代;每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或-NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代;每次出現之R6’可相同或不同且獨立地係C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷基-OR7;每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;n係1之整數且m係1之整數;前提係當-該R5及R5’與其所結合之氮原子一起代表以下結構時: Wherein: * represents the attachment point of the heteroaryl group to the rest of the structure of formula (I); R 3 is a methyl group; R 4 is a hydroxyl group; R 5 and R 5 ' are the same or different and independently hydrogen Atom or C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkoxy-C 1 -C 6 -alkyl, or R 5 and R 5 ' together with the nitrogen atom to which they are bonded represent a 3 to 7 membered nitrogen-containing heterocyclic ring which optionally contains at least one other hetero atom selected from oxygen, nitrogen or sulfur and which may optionally be one or more Substituting R 6 ' groups; each occurrence of R 6 may be the same or different and independently hydrogen atom, halogen atom, C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl, aryl-C 1 -C 6 -alkyl, hetero Aryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic group -C 1 -C 6 -alkyl, -C 1 -C 6 -alkyl- OR 7 , -C 1 -C 6 -alkyl-SR 7 , -C 1 -C 6 -alkyl-N(R 7 )(R 7' ), -C 1 -C 6 -alkyl-C(= O) R 7 , -CN, -C(=O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 )(R 7' ) or -NR 7 C (=O R 7 , each of which may be optionally substituted with one or more R 8 groups; each occurrence of R 6 ' may be the same or different and independently C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkyl-OR 7 ; each occurrence of R 7 and R 7 ' may be the same or different and independently hydrogen Atom or C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1- C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic ring -C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; each occurrence of R 8 is independently a halogen atom or a nitro group, a hydroxyl group, a cyano group, a decyl group, an ethyl group Base, amine group, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkane , C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 1 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, a 3- to 8-membered heterocyclic ring, a heterocyclic group-C 1 -C 6 -alkyl or a heteroaryl-C 1 -C 6 -alkyl group; n is an integer of 1 and an integer of m is 1; R 5 and R 5' together with the nitrogen atom to which it is combined represents the following structure:

其中*代表與通式(I)之結構之其餘部分之附接點,則- 以下結構之該R2雜芳基: Wherein * represents an attachment point to the remainder of the structure of formula (I), then - the R 2 heteroaryl of the structure:

不為: Not for:

其中*代表與通式(I)之結構之其餘部分之附接點,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 Wherein * represents an attachment point to the remainder of the structure of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, specifically physiology An acceptable salt or a mixture thereof.

根據本發明之實施例,上述式(I)化合物係選自由以下組成之群: N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 According to an embodiment of the invention, the compound of formula (I) above is selected from the group consisting of: N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2S)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2S)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyridine-3-carboxamide

N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]吡啶-3-甲醯胺 N-[8-({(2R)-3-[(2R,6S)-2,6-Dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy}-7-A Oxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide

N-{8-[2-羥基-3-(硫嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺 N-{8-[2-hydroxy-3-(thiomorpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline- 5-based}pyridine-3-carboxamide

N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)pyridine-3-carboxamide

N-{8-[3-(二甲基胺基)-2-羥基丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺 N-{8-[3-(Dimethylamino)-2-hydroxypropoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline-5- Pyridyl-3-carboxamide

N-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-3-(dimethylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c Quinazoline-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]-2-甲基吡啶-3-甲醯胺 N-[8-({(2R)-3-[(2R,6S)-2,6-Dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基- 2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy- 2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

6-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺 6-Amino-N-{8-[2-hydroxy-3-(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazole [1,2-c] Quinazoline-5-yl}pyridine-3-carboxamide

6-胺基-N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 6-Amino-N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyrimidine-5-carboxamide

2-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺 2-Amino-N-{8-[2-hydroxy-3-(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazole [1,2-c] Quinazoline-5-yl}pyrimidine-5-carboxamide

2-胺基-N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]嘧啶-5-甲醯胺 2-Amino-N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)- 7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyrimidine-5-carboxamide

2-胺基-N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺二鹽酸鹽 2-Amino-N-(8-{[(2R)-2-hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy }-7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide dihydrochloride

2-胺基-N-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺 2-Amino-N-(8-{[(2R)-3-(dimethylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [ 1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-3H-咪唑[4,5-b]吡啶-6-甲醯胺N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c]quinazolin-5-yl)-3H-imidazole[4,5-b]pyridine-6-carboxamide N-(8-{[(2R)-2-hydroxy-3-(morpholine-4) -yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-1,3-thiazole-5-carboxamide

N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]-1,3-噻唑-5-甲醯胺 N-[8-({(2R)-3-[(2R,6S)-2,6-Dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]-1,3-thiazole-5-carboxamide

N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)-1,3-thiazole-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-1,3-thiazole-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)-1,3-thiazole-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-4-甲基-1,3-噻唑-5-甲醯胺2-胺基-N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-4-甲基-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-4-methyl-1,3-thiazole-5-carboxamide 2-amino-N-(8-{[(2R)-2-hydroxy-3-( Morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-4-methyl-1, 3-thiazole-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噁唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-1,3-oxazol-5-carboxamide

N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽,具體而言生理學上可接受之鹽或其混合物. N-(8-{[(2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)-1,3-thiazol-5-carboxamide, or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof Specifically, a physiologically acceptable salt or a mixture thereof.

根據本發明之實施例,上述式(I)化合物係選自由以下組成之群: N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 According to an embodiment of the invention, the compound of formula (I) above is selected from the group consisting of: N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyridine-3-carboxamide

N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]吡啶-3-甲醯胺 N-[8-({(2R)-3-[(2R,6S)-2,6-Dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy}-7-A Oxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-3-(dimethylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c Quinazoline-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)pyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 N-(8-{[(2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)pyrimidine-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-1,3-thiazole-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)-1,3-thiazole-5-carboxamide

N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噁唑-5-甲醯胺, 或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽,具體而言生理學上可接受之鹽或其混合物. N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-1,3-oxazol-5-carboxamide, Or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular a physiologically acceptable salt or a mixture thereof.

根據本發明之實施例,PI3K抑制劑係上述式(I)化合物,其中:R1代表-(CH2)n-(CHR4)-(CH2)m-N(R5)(R5’);R2代表以下結構之雜芳基: According to an embodiment of the invention, the PI3K inhibitor is a compound of the above formula (I), wherein: R 1 represents -(CH 2 ) n -(CHR 4 )-(CH 2 ) m -N(R 5 )(R 5' R 2 represents a heteroaryl group of the following structure:

其中:*代表該雜芳基與通式(I)之結構之其餘部分之附接點,且X代表N或C-R6;R3係甲基;R4係羥基;R5及R5’相同或不同且彼此獨立地係氫原子或C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷氧基-C1-C6-烷基,或R5及R5’與其所結合之氮原子一起代表3至7員含氮雜環,該雜環視情況含有至少一個選自氧、氮或硫之其他雜原子且其可視情況經1個或多個R6’基團取代;每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或- NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代;每次出現之R6’可相同或不同且獨立地係C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷基-OR7;每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;n係1之整數且m係1之整數;或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 Wherein: * represents the attachment point of the heteroaryl group to the rest of the structure of formula (I), and X represents N or CR 6 ; R 3 is methyl; R 4 is hydroxy; R 5 and R 5 ' are the same Or different and independently of each other, a hydrogen atom or a C 1 -C 6 -alkyl group, a C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl group or a C 1 -C 6 -alkoxy-C 1 group -C 6 -alkyl, or R 5 and R 5 ' together with the nitrogen atom to which they are bonded represent a 3 to 7 membered nitrogen-containing heterocyclic ring which optionally contains at least one other hetero atom selected from oxygen, nitrogen or sulfur and It may optionally be substituted by one or more R 6 ' groups; each occurrence of R 6 may be the same or different and independently hydrogen, halogen atom, C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic group -C 1 -C 6 -alkyl, -C 1- C 6 -alkyl-OR 7 , -C 1 -C 6 -alkyl-SR 7 , -C 1 -C 6 -alkyl-N(R 7 )(R 7' ), -C 1 -C 6 -alkyl-C(=O)R 7 , -CN, -C(=O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 (R 7 ' ) or - NR 7 C(=O)R 7 , each of which may be substituted with one or more R 8 groups as appropriate; each occurrence of R 6 ' may be the same or Different and independently C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkyl-OR 7 ; 7 and R 7 ' may be the same or different and independently hydrogen atom or C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 - ring Alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl a 3 to 8 membered heterocyclic ring, a 3 to 8 membered heterocyclyl-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl group; each occurrence of R 8 is independently a halogen atom or Nitro, hydroxy, cyano, decyl, ethenyl, amine, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 - C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 1 -C 6 -cycloalkenyl, aryl, aryl -C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, heterocyclic group -C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; n-line 1 An integer and m is an integer of 1; Their stereoisomers, tautomers, N- oxide, hydrate, solvate or salt thereof, particularly the physiologically acceptable salts thereof, or mixtures thereof concerned.

根據實施例,式(I)化合物係選自由以下組成之群: 6-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺 According to an embodiment, the compound of formula (I) is selected from the group consisting of: 6-Amino-N-{8-[2-hydroxy-3-(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazole [1,2-c] Quinazoline-5-yl}pyridine-3-carboxamide

6-胺基-N-(8-{[(2S)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 6-Amino-N-(8-{[(2S)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c]quinazolin-5-yl)pyridine-3-carboxamide

6-胺基-N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺 6-Amino-N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

2-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺 2-Amino-N-{8-[2-hydroxy-3-(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazole [1,2-c] Quinazoline-5-yl}pyrimidine-5-carboxamide

2-胺基-N-{8-{[(2S)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺 2-Amino-N-{8-{[(2S)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c]quinazolin-5-yl}pyrimidine-5-carboxamide

2-胺基-N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]嘧啶-5-甲醯胺 2-Amino-N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)- 7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyrimidine-5-carboxamide

2-胺基-N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺二鹽酸鹽 2-Amino-N-(8-{[(2R)-2-hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy }-7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide dihydrochloride

2-胺基-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺, 或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 2-Amino-(8-{[(2R)-3-(dimethylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [1, 2-c]quinazolin-5-yl}pyrimidine-5-carboxamide, Or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular a physiologically acceptable salt or a mixture thereof.

根據較佳實施例,上述式(I)化合物係N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物。 According to a preferred embodiment, the above compound of formula (I) is N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide or a stereoisomer thereof, tautomer, N-oxidation a hydrate, a solvate or a salt or a mixture thereof.

根據較佳實施例,上述式(I)化合物係N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺或其生理學上可接受之鹽或其混合物。 According to a preferred embodiment, the above compound of formula (I) is N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide or a physiologically acceptable salt thereof or a mixture thereof.

根據較佳實施例,上述式(I)化合物係N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺。 According to a preferred embodiment, the above compound of formula (I) is N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy -2,3-Dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide.

根據實施例,在每一投與循環中將式(I)化合物投與1天、2天、3天、4天或5天之時段,隨後在3天、4天、5天或6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共4天(即1個給藥日隨後3個停藥日)至11天(即5個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for one, two, three, four or five days in each administration cycle, followed by 3, 4, 5 or 6 days. Compounds of formula (I) or placebo are not administered during the time period. The administration cycle takes a total of 4 days (ie, 3 dosing days after 1 dosing day) to 11 days (ie, 5 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1天、2天、3天、4天或5天之時段,隨後在4天、5天或6天之時段中不投與式(I)化 合物或投與安慰劑。該投與循環耗費總共5天(即1個給藥日隨後4個停藥日)至11天(即5個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 1 day, 2 days, 3 days, 4 days or 5 days in each administration cycle, followed by a period of 4 days, 5 days or 6 days. Cast (I) Compound or placebo. The administration cycle takes a total of 5 days (ie, 4 dosing days after 1 dosing day) to 11 days (ie, 5 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與2天、3天或4天之時段,隨後在4天、5天或6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共6天(即2個給藥日隨後4個停藥日)至10天(即4個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 2 days, 3 days or 4 days in each administration cycle, followed by not administering formula (I) for a period of 4 days, 5 days or 6 days. Compound or placebo. The administration cycle takes a total of 6 days (ie, 2 dosing days followed by 4 drug withdrawal days) to 10 days (ie, 4 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1天、2天或3天之時段,隨後在4天、5天或6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共5天(即1個給藥日隨後4個停藥日)至9天(即3個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 1 day, 2 days or 3 days in each administration cycle, followed by not administering formula (I) for a period of 4 days, 5 days or 6 days. Compound or placebo. The administration cycle takes a total of 5 days (ie, 4 dosing days after 1 dosing day) to 9 days (ie, 3 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1至4天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共4天(即1個給藥日隨後3個停藥日)至10天(即4個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of from 1 to 4 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 3 to 6 days. The administration cycle takes a total of 4 days (ie, 3 dosing days after 1 dosing day) to 10 days (ie, 4 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1至4天之時段,隨後在4至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共5天(即1個給藥日隨後4個停藥日)至10天(即4個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of from 1 to 4 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 4 to 6 days. The administration cycle takes a total of 5 days (ie, 4 dosing days after 1 dosing day) to 10 days (ie, 4 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1至4天之時段,隨後在4至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共4天(即1個給藥日隨後3個停藥日)至10天(即4個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of from 1 to 4 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 4 to 6 days. The administration cycle takes a total of 4 days (ie, 3 dosing days after 1 dosing day) to 10 days (ie, 4 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1至2天之時 段,隨後在5至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共6天(即1個給藥日隨後5個停藥日)至8天(即2個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for 1 to 2 days in each administration cycle The segment is then administered without the administration of a compound of formula (I) or a placebo over a period of 5 to 6 days. The administration cycle takes a total of 6 days (ie, 5 dosing days after 1 dosing day) to 8 days (ie, 2 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1天之時段(即1個給藥日),隨後在3至6天之時段(3至6個停藥日)中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共4天(即1個給藥日隨後3個停藥日)至7天(即1個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 1 day (i.e., 1 dosing day) in each administration cycle, followed by a period of 3 to 6 days (3 to 6 days off) Compounds of formula (I) are not administered or placebo is administered. The administration cycle takes a total of 4 days (ie, 3 dosing days after 1 dosing day) to 7 days (ie, 6 dosing days after 1 dosing day), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與2天之時段(即2個給藥日),隨後在3至6天之時段(3至6個停藥日)中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共5天(即2個給藥日隨後3個停藥日)至8天(即2個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 2 days (i.e., 2 dosing days) in each administration cycle, followed by a period of 3 to 6 days (3 to 6 drug withdrawal days) Compounds of formula (I) are not administered or placebo is administered. The administration cycle takes a total of 5 days (ie, 2 dosing days followed by 3 drug withdrawal days) to 8 days (ie, 2 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與3天之時段(即3個給藥日),隨後在3至6天之時段(3至6個停藥日)中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共6天(即3個給藥日隨後3個停藥日)至9天(即3個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 3 days (ie 3 dosing days) in each administration cycle, followed by a period of 3 to 6 days (3 to 6 days of withdrawal) Compounds of formula (I) are not administered or placebo is administered. The administration cycle takes a total of 6 days (ie, 3 dosing days followed by 3 drug withdrawal days) to 9 days (ie, 3 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與4天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共7天(即4個給藥日隨後3個停藥日)至10天(即4個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 4 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 3 to 6 days. The administration cycle takes a total of 7 days (ie, 4 dosing days followed by 3 drug withdrawal days) to 10 days (ie, 4 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共8天(即5個給藥日隨後3個停藥日)至11天(即5個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 5 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 3 to 6 days. The administration cycle takes a total of 8 days (ie, 5 dosing days followed by 3 drug withdrawal days) to 11 days (ie, 5 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與1天之時段(即1個給藥日),隨後在4至6天之時段(4至6個停藥日)中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共5天(即1個給藥日隨後4個停藥日)至7天(即1個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 1 day (i.e., 1 dosing day) in each administration cycle, followed by a period of 4 to 6 days (4 to 6 drug withdrawal days) Compounds of formula (I) are not administered or placebo is administered. The administration cycle takes a total of 5 days (ie, 4 dosing days after 1 dosing day) to 7 days (ie, 6 dosing days after 1 dosing day), which is based on the dosing day and stop. The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與2天之時段(即2個給藥日),隨後在4至6天之時段(4至6個停藥日)中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共6天(即2個給藥日隨後4個停藥日)至8天(即2個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 2 days (i.e., 2 dosing days) in each administration cycle, followed by a period of 4 to 6 days (4 to 6 drug withdrawal days) Compounds of formula (I) are not administered or placebo is administered. The administration cycle takes a total of 6 days (ie, 2 dosing days after 2 dosing days) to 8 days (ie, 2 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與3天之時段(即3個給藥日),隨後在4至6天之時段(4至6個停藥日)中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共7天(即3個給藥日隨後4個停藥日)至9天(即3個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 3 days (ie 3 dosing days) in each administration cycle, followed by a period of 4 to 6 days (4 to 6 drug withdrawal days) Compounds of formula (I) are not administered or placebo is administered. The administration cycle takes a total of 7 days (ie, 3 dosing days followed by 4 drug withdrawal days) to 9 days (ie, 3 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與4天之時段,隨後在4至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共8天(即4個給藥日隨後4個停藥日)至10天(即4個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 4 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 4 to 6 days. The administration cycle takes a total of 8 days (ie, 4 dosing days followed by 4 drug withdrawal days) to 10 days (ie, 4 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

根據實施例,在每一投與循環中將式(I)化合物投與5天之時段,隨後在4至6天之時段中不投與式(I)化合物或投與安慰劑。該投與循環耗費總共9天(即5個給藥日隨後4個停藥日)至11天(即5個給藥日隨後6個停藥日)來完成,此端視給藥日及停藥日之數量而定。 According to an embodiment, the compound of formula (I) is administered for a period of 5 days in each administration cycle, followed by administration of the compound of formula (I) or administration of a placebo over a period of 4 to 6 days. The administration cycle takes a total of 9 days (ie, 5 dosing days followed by 4 drug withdrawal days) to 11 days (ie, 5 dosing days followed by 6 drug withdrawal days), which is based on the dosing day and stop The number of medicine days depends on the number of medicines.

本發明之其他實施例係如表A中所闡述,其中在每一投與循環中將式(I)化合物投與如第一行中定義之「給藥」日之時段,隨後在如第二行中所闡述之「停藥」日之時段中不投與式(I)化合物或投與安慰劑 (對於每一實施例,完成投與循環所耗費之天數示於表A之第四行中): Other embodiments of the invention are as set forth in Table A, wherein the compound of formula (I) is administered in each of the administration cycles for a period of "dosing" as defined in the first row, followed by a second Do not administer a compound of formula (I) or place a placebo during the period of the "drug withdrawal" date described in the line (for each example, the number of days spent completing the administration cycle is shown in the fourth row of Table A. ):

對於表A之實施例,投與循環可實施一或多次,例如投與循環可實施1次、2次、3次、4次或5次,隨後不投與式(I)化合物之4至8天(例如4天、5天、6天、7天或8天)之可選中斷時段。 For the examples of Table A, the administration cycle can be carried out one or more times, for example, the administration cycle can be carried out once, twice, three times, four times or five times, followed by not administering the compound of formula (I) to An optional interruption period of 8 days (eg 4 days, 5 days, 6 days, 7 days or 8 days).

根據較佳實施例,在給藥日中每日一次投與式(I)化合物。 According to a preferred embodiment, the compound of formula (I) is administered once daily on the day of administration.

根據實施例,根據1個給藥日隨後6個停藥日的投藥時間表每日一次投與式(I)化合物達21天,隨後不利用PI3K抑制劑治療之4至8天(中斷時段)。 According to the embodiment, the compound of the formula (I) is administered once daily for 21 days according to the administration schedule of the next 6 days after the first administration day, and then 4 to 8 days without treatment with the PI3K inhibitor (interruption period) .

根據實施例,根據2個給藥日隨後5個停藥日的投藥時間表每日一次投與式(I)化合物達21天,隨後不利用PI3K抑制劑治療之4至8天(中斷時段)。 According to the embodiment, the compound of formula (I) is administered once daily for 21 days according to the administration schedule of the following 5 drug-discharging days, and then 4 to 8 days without treatment with PI3K inhibitor (interruption period) .

根據實施例,根據2個給藥日隨後5個停藥日的投藥時間表每日一次投與式(I)化合物達21天,隨後不利用PI3K抑制劑治療之7天(中斷時段)。 According to the examples, the compound of formula (I) was administered once daily for 21 days according to the dosing schedule for the next 5 dosing days on 2 dosing days, followed by 7 days without treatment with PI3K inhibitor (interruption period).

根據實施例,根據3給藥日隨後4停藥日的投藥時間表每日一次投與式(I)化合物達21天,隨後不利用PI3K抑制劑治療之4至8天(中斷時段)。 According to the examples, the compound of formula (I) was administered once daily for 21 days according to the dosing schedule of the subsequent 4 dosing days on the 3 dosing day, followed by 4 to 8 days of treatment without the PI3K inhibitor (interruption period).

根據實施例,根據4給藥日隨後3停藥日的投藥時間表每日一次投與式(I)化合物達21天,隨後不利用PI3K抑制劑治療之4至8天(中斷時段)。 According to the examples, the compound of formula (I) was administered once daily for 21 days according to the dosing schedule for the subsequent 3 dosing days on the 4 dosing day, followed by 4 to 8 days without treatment with the PI3K inhibitor (interrupted period).

根據實施例,將投與循環實施一或多次,例如1次、2次、3次、4次或5次。 According to an embodiment, the administration cycle is performed one or more times, for example, 1 time, 2 times, 3 times, 4 times or 5 times.

根據實施例,將投與循環實施1次、2次、3次或4次,隨後在4至8天(例如4天、5天、6天、7天或8天)之中斷時段中不投與式(I)化合物。 According to an embodiment, the administration cycle is performed once, twice, three times or four times, and then not in the interruption period of 4 to 8 days (for example, 4 days, 5 days, 6 days, 7 days or 8 days) And a compound of formula (I).

劑量及投與Dosage and administration

基於已知用於評估可用於治療過度增殖性病症及血管生成病症之化合物的標準實驗室技術、藉由標準毒性測試且藉由用於確定哺乳動物中上文所鑒定病況之治療之標準藥理學分析且藉由將該等結果與使用用於治療該等病況之已知藥劑之結果進行比較,可容易地確定本 發明化合物用於治療每一期望適應症之有效劑量。欲在該等病況中一者之治療中投與之活性成份的量可根據以下考慮因素而在寬範圍內變化,例如所使用之具體化合物及劑量單元、投與模式、治療階段、所治療患者之年齡及性別以及所治療病況之性質及嚴重程度。 Based on standard laboratory techniques known for assessing compounds useful in the treatment of hyperproliferative disorders and angiogenic disorders, standard pharmacology by standard toxicity testing and by treatment for determining the conditions identified above in mammals Analysis and easy determination of the results by comparing the results with the results of using known agents for treating such conditions The compounds of the invention are useful for treating an effective dosage for each desired indication. The amount of active ingredient to be administered in the treatment of one of these conditions may vary widely depending on, for example, the particular compound and dosage unit employed, the mode of administration, the stage of treatment, the patient being treated Age and gender and the nature and severity of the condition being treated.

當然,對於每一患者而言,特定起始及持續劑量方案將隨主治診斷醫師所確定之病況之性質及嚴重性、所使用特定化合物之活性、患者之年齡及總體狀況、投與時間、投與途徑、藥物排泄速率、藥物組合及諸如此類而變化。本發明化合物或其醫藥上可接受之鹽或酯或組合物之期望治療模式及投藥次數可由熟悉此項技術者使用習用治療測試來確定。 Of course, for each patient, the specific initial and sustained dosing regimen will vary with the nature and severity of the condition as determined by the attending diagnostician, the activity of the particular compound employed, the age and general condition of the patient, the time of administration, and the dosage. It varies with route, drug excretion rate, drug combination, and the like. The desired mode of treatment and the number of administrations of a compound of the invention, or a pharmaceutically acceptable salt or ester or composition thereof, can be determined by a person skilled in the art using a conventional therapeutic test.

一般而言,經口投與式(I)化合物。 In general, the compound of formula (I) is administered orally.

根據實施例,經口投與式(I)化合物。 According to an embodiment, the compound of formula (I) is administered orally.

如本文所使用,術語「有效日劑量」係在根據投藥方案投與化合物之日期所投與之該化合物之有效每日量。 As used herein, the term "effective daily dose" is the effective daily amount of the compound administered on the date the compound is administered according to the administration regimen.

在本發明中,通式(I)之化合物之有效日劑量在約50mg/天至約400mg/天之範圍內,較佳地約100mg/天至約300mg/天,更佳地約150mg/天至約250mg/天,例如50mg、100mg、150mg、200mg、250mg、300mg或400mg(所有皆每天)之特定日劑量。 In the present invention, the effective daily dose of the compound of the formula (I) is in the range of from about 50 mg/day to about 400 mg/day, preferably from about 100 mg/day to about 300 mg/day, more preferably about 150 mg/day. To a specific daily dose of about 250 mg/day, such as 50 mg, 100 mg, 150 mg, 200 mg, 250 mg, 300 mg or 400 mg (all daily).

如本文所使用,術語「劑量單元」係指在每一投藥週期中投與之化合物之量。 As used herein, the term "dosage unit" refers to the amount of the compound administered during each administration cycle.

通式(I)之化合物之個別劑量單元較佳在約50mg至約400mg之範圍內,更佳地約100mg至約300mg,甚至更佳地約150mg至約250mg,例如50mg、100mg、150mg、200mg、250mg、300mg或400mg。 The individual dosage units of the compound of formula (I) are preferably in the range of from about 50 mg to about 400 mg, more preferably from about 100 mg to about 300 mg, even more preferably from about 150 mg to about 250 mg, such as 50 mg, 100 mg, 150 mg, 200 mg. , 250mg, 300mg or 400mg.

為達成某一有效日劑量,患者可服用含有通式(I)之化合物之總量之一個劑量單元或合計達期望有效日劑量之兩個或更多個劑量單 元。 To achieve an effective daily dose, the patient may take one dosage unit containing the total amount of the compound of formula (I) or two or more dosage forms totaling the desired effective daily dose. yuan.

如本文所使用,術語每一投與循環中之「總量」係指在每一投與循環中在投與化合物之當天所投與之該化合物之累積量(即給藥日中之總累積量)。 As used herein, the term "total amount" in each administration cycle refers to the cumulative amount of the compound administered on the day of administration of the compound in each administration cycle (ie, the total accumulation in the administration day). the amount).

根據實施例,在每一投與循環中以約200mg至約1000mg之總量投與式(I)化合物。 According to an embodiment, the compound of formula (I) is administered in a total amount of from about 200 mg to about 1000 mg in each administration cycle.

根據實施例,在每一投與循環中以約300mg至約900mg之總量投與式(I)化合物。 According to an embodiment, the compound of formula (I) is administered in a total amount of from about 300 mg to about 900 mg in each administration cycle.

根據實施例,在每一投與循環中以約400mg至約800mg之總量投與式(I)化合物。 According to an embodiment, the compound of formula (I) is administered in a total amount of from about 400 mg to about 800 mg in each administration cycle.

根據實施例,式(I)化合物係在投與其之日期以約50mg/天至約400mg/天之量投與。 According to an embodiment, the compound of formula (I) is administered in an amount from about 50 mg/day to about 400 mg/day on the date of administration.

根據實施例,式(I)化合物係在投與其之日期以約100mg/天至約400mg/天之量投與。 According to an embodiment, the compound of formula (I) is administered in an amount from about 100 mg/day to about 400 mg/day on the date of administration.

根據實施例,式(I)化合物係在投與其之日期以約100mg/天至約300mg/天之量投與。 According to an embodiment, the compound of formula (I) is administered in an amount from about 100 mg/day to about 300 mg/day on the date of administration.

根據實施例,式(I)化合物係在投與其之日期以約150mg/天至約250mg/天之量投與。 According to an embodiment, the compound of formula (I) is administered in an amount from about 150 mg/day to about 250 mg/day on the date of administration.

組合療法Combination therapy

本發明化合物可根據本發明之投藥方案作為唯一醫藥藥劑或與一或多種其他醫藥藥劑組合來投與,其中該組合不會引起不可接受之不利效應。本發明亦係關於該等組合。例如,本發明化合物可與已知抗過度增殖劑或其他指示劑及諸如此類以及其混合物及組合進行組合。其他指示劑包括(但不限於)抗血管生成劑、有絲分裂抑制劑、烷基化劑、抗代謝劑、DNA-嵌入抗生素、生長因子抑制劑、細胞週期抑制劑、酶抑制劑、拓撲異構酶抑制劑、生物反應調節劑或抗激素 劑。 The compounds of the invention may be administered as a sole pharmaceutical agent or in combination with one or more other pharmaceutical agents in accordance with the administration regimen of the invention, wherein the combination does not cause unacceptable adverse effects. The invention is also related to such combinations. For example, the compounds of the invention can be combined with known anti-hyperproliferative or other indicators and the like, as well as mixtures and combinations thereof. Other indicators include, but are not limited to, anti-angiogenic agents, mitotic inhibitors, alkylating agents, antimetabolites, DNA-embedded antibiotics, growth factor inhibitors, cell cycle inhibitors, enzyme inhibitors, topoisomerases Inhibitor, biological response modifier or anti-hormone Agent.

其他醫藥藥劑可為阿地白介素(aldesleukin)、阿侖膦酸(alendronic acid)、阿發隆(alfaferone)、阿利維A酸(alitretinoin)、別嘌呤醇(allopurinol)、別嘌醇鈉(aloprim)、帕洛諾司瓊(aloxi)、六甲蜜胺(altretamine)、胺魯米特(aminoglutethimide)、胺磷汀(amifostine)、胺柔比星(amrubicin)、安吖啶(amsacrine)、阿那曲唑(anastrozole)、多拉司瓊(anzmet)、阿法達貝泊汀(aranesp)、阿格拉賓(arglabin)、三氧化二砷、阿諾新(aromasin)、5-氮雜胞苷(5-azacytidine)、硫唑嘌呤(azathioprine)、BCG或泰斯卡介苗(tice BCG)、苯丁抑制素(bestatin)、乙酸倍他米松(betamethasone acetate)、倍他米松磷酸鈉、貝沙羅汀(bexarotene)、硫酸博來黴素(bleomycin sulfate)、溴尿苷(broxuridine)、硼替佐米(bortezomib)、白消安(busulfan)、降鈣素(calcitonin)、阿侖珠單抗(campath)、卡培他濱(capecitabine)、卡鉑(carboplatin)、康士得(casodex)、西福松(cefesone)、西莫白介素(celmoleukin)、柔紅黴素(cerubidine)、苯丁酸氮芥(chlorambucil)、順鉑(cisplatin)、克拉屈濱(cladribine)、氯膦酸(clodronic acid)、環磷醯胺(cyclophosphamide)、阿糖胞苷(cytarabine)、達卡巴嗪(dacarbazine)、更生黴素(dactinomycin)、檸檬酸柔紅黴素脂質體(DaunoXome)、地卡特隆(decadron)、磷酸地卡特隆、戊酸雌二醇(delestrogen)、地尼白介素2(denileukin diftitox)、狄波美(depomedrol)、地洛瑞林(deslorelin)、右雷佐生(dexrazoxane)、乙烯雌酚(diethylstilbestrol)、大扶康(diflucan)、多西他賽(docetaxel)、去氧氟尿苷(doxifluridine)、多柔比星(doxorubicin)、屈大麻酚(dronabinol)、DW-166HC、伊利嘉德(eligard)、埃立特(elitek)、易倫思(ellence)、止敏吐(emend)、表柔比星(epirubicin)、依泊汀α(epoetin alfa)、依伯淨(epogen)、依他鉑(eptaplatin)、依噶米索 (ergamisol)、雌二醇製劑(estrace)、雌二醇(estradiol)、雌莫司汀磷酸鈉(estramustine phosphate sodium)、炔雌醇(ethinyl estradiol)、阿密磷定(ethyol)、羥乙磷酸(etidronic acid)、凡畢複(etopophos)、依託泊苷(etoposide)、法倔唑(fadrozole)、法思同(farston)、非格司亭(filgrastim)、非那雄胺(finasteride)、非格司亭、氟尿苷(floxuridine)、氟康唑(fluconazole)、氟達拉濱(fludarabine)、單磷酸5-氟去氧尿苷(5-fluorodeoxyuridine monophosphate)、5-氟尿嘧啶(5-FU)、氟甲睪酮(fluoxymesterone)、氟他胺(flutamide)、福美坦(formestane)、福思他濱(fosteabine)、福莫司汀(fotemustine)、氟維司群(fulvestrant)、伽馬伽得(gammagard)、吉西他濱(gemcitabine)、吉妥珠單抗(gemtuzumab)、格列衛(gleevec)、格立得(gliadel)、戈舍瑞林(goserelin)、格拉司瓊HCl(granisetron HCl)、組胺瑞林(histrelin)、和美新(hycamtin)、氫化可的松(hydrocortone)、赤式-羥基壬基腺嘌呤(erythro-hydroxynonyladenine)、羥基脲(hydroxyurea)、替伊莫單抗(ibritumomab tiuxetan)、伊達比星(idarubicin)、異環磷醯胺(ifosfamide)、幹擾素α、幹擾素-α2、幹擾素α-2A、幹擾素α-2B、幹擾素α-n1、幹擾素α-n3、幹擾素β、幹擾素γ-1a、白介素-2、甘樂能(intron A)、易瑞沙(iressa)、伊立替康(irinotecan)、凱特瑞(kytril)、香菇多糖硫酸酯(lentinan sulfate)、來曲唑(letrozole)、甲醯四氫葉酸(leucovorin)、亮丙立得(leuprolide)、乙酸亮丙立得(leuprolide acetate)、左旋咪唑(levamisole)、左亞葉酸鈣鹽(levofolinic acid calcium salt)、左甲狀腺素鈉(levothroid)、雷沃柯西(levoxyl)、洛莫司汀(lomustine)、氯尼達明(lonidamine)、馬裡諾(marinol)、氮芥(mechlorethamine)、甲鈷胺(mecobalamin)、乙酸甲羥孕酮(medroxyprogesterone acetate)、乙酸甲地孕酮(megestrol acetate)、美法侖(melphalan)、酯化雌激素製劑(menest)、6-巰嘌呤、美司鈉 (Mesna)、甲胺蝶昤(methotrexate)、美特維克(metvix)、米替福新(miltefosine)、米諾環素(minocycline)、絲裂黴素C(mitomycin C)、米托坦(mitotane)、米托蒽醌(mitoxantrone)、曲洛司坦(Modrenal)、美斯特(Myocet)、奈達鉑(nedaplatin)、紐拉特(neulasta)、紐密伽(neumega)、紐伯淨(neupogen)、尼魯米特(nilutamide)、諾瓦得士(nolvadex)、NSC-631570、OCT-43、奧曲肽(octreotide)、昂丹司瓊HCl(ondansetron HCl)、潑尼松龍口崩片(orapred)、奧沙利鉑(oxaliplatin)、太平洋紫杉醇(paclitaxel)、潑尼松磷酸鈉製劑(pediapred)、培門冬酶(pegaspargase)、派羅欣(Pegasys)、噴司他丁(pentostatin)、畢西巴尼(picibanil)、匹魯卡品HCl(pilocarpine HCl)、吡柔比星(pirarubicin)、普卡黴素(plicamycin)、卟吩姆鈉(porfimer sodium)、潑尼莫司汀(prednimustine)、潑尼松龍(prednisolone)、潑尼松(prednisone)、倍美力(premarin)、丙卡巴肼(procarbazine)、普羅克裡特(procrit)、雷替曲塞(raltitrexed)、RDEA 119、利比(rebif)、依替膦酸錸-186(rhenium-186 etidronate)、利妥昔單抗(rituximab)、羅擾素(roferon-A)、羅莫肽(romurtide)、舒樂津(salagen)、善得定(sandostatin)、沙格司亭(sargramostim)、司莫司汀(semustine)、西左非蘭(sizofiran)、索布佐生(sobuzoxane)、甲強龍(solu-medrol)、磷乙天冬胺酸(sparfosic acid)、幹細胞療法、鏈佐星(streptozocin)、鍶-89氯化物、左甲狀腺素鈉(synthroid)、他莫昔芬(tamoxifen)、坦洛新(tamsulosin)、他索那敏(tasonermin)、睪內酯(testolactone)、泰索帝(taxotere)、替西白介素(teceleukin)、替莫唑胺(temozolomide)、替尼泊苷(teniposide)、丙酸睪酮(testosterone propionate)、甲睪酮膠囊劑(testred)、硫鳥嘌呤(thioguanine)、塞替派(thiotepa)、促甲狀腺素(thyrotropin)、替魯膦酸(tiludronic acid)、托泊替康(topotecan)、托瑞米芬(toremifene)、托西莫單抗(tositumomab)、曲妥珠單抗、曲奧舒凡 (treosulfan)、維A酸(tretinoin)、甲胺蝶呤鈉(trexall)、三甲蜜胺(trimethylmelamine)、三甲曲沙(trimetrexate)、乙酸曲普瑞林(triptorelin acetate)、雙羥萘酸曲普瑞林、UFT、尿苷、戊柔比星(valrubicin)、維司力農(vesnarinone)、長春鹼(vinblastine)、長春新鹼(vincristine)、長春地辛(vindesine)、長春瑞濱(vinorelbine)、維魯利秦(virulizin)、右雷佐生(zinecard)、淨司他丁斯酯(zinostatin stimalamer)、樞複寧(zofran)、ABI-007、阿考比芬(acolbifene)、幹擾素γ-1b(actimmune)、阿菲尼塔(affinitak)、胺基蝶呤(aminopterin)、阿佐昔芬(arzoxifene)、阿普瑞尼(asoprisnil)、阿他美坦(atamestane)、阿曲生坦(atrasentan)、索拉非尼(sorafenib)、癌思停(avastin)、CCI-779、CDC-501、西樂葆(celebrex)、西妥昔單抗(cetuximab)、克立那托(crisnatol)、乙酸環丙孕酮(cyproterone acetate)、地西他濱(decitabine)、DN-101、阿黴素-MTC、dSLIM、度他雄胺(dutasteride)、依朵堤卡林(edotecarin)、依氟鳥胺酸(eflornithine)、依沙替康(exatecan)、芬維a銨(fenretinide)、二鹽酸組胺、組胺瑞林水凝膠植入物、鈥-166 DOTMP、伊班膦酸(ibandronic acid)、幹擾素γ、聚乙二醇化幹擾素(intron-PEG)、伊沙匹隆(ixabepilone)、鑰孔蟲戚血蘭素(keyhole limpet hemocyanin)、L-651582、蘭瑞肽(lanreotide)、拉索昔芬(lasofoxifene)、利布拉(libra)、氯那法尼(lonafarnib)、米潑昔芬(miproxifene)、米諾膦酸(minodronate)、MS-209、脂質體MTP-PE、MX-6、那法瑞林(nafarelin)、奈莫柔比星(nemorubicin)、新伐司他(neovastat)、諾拉曲塞(nolatrexed)、奧利默森(oblimersen)、長春新鹼脂質體製劑(onco-TCS)、奧西德(osidem)、聚麩胺酸太平洋紫杉醇、帕米膦酸二鈉(pamidronate disodium)、PN-401、QS-21、誇西泮(quazepam)、R-1549、雷洛昔芬(raloxifene)、豹蛙酶(ranpirnase)、13-順式-視黃酸、沙鉑(satraplatin)、西奧骨化醇(seocalcitol)、T- 138067、塔西法(tarceva)、塔克普辛(taxoprexin)、胸腺素α1、噻唑呋林(tiazofurine)、替吡法尼(tipifarnib)、替拉紮明(tirapazamine)、TLK-286、托瑞米芬(toremifene)、反式MID-107R、伐司樸達(valspodar)、伐普肽(vapreotide)、瓦他拉尼(vatalanib)、維替泊芬(verteporfin)、長春氟寧(vinflunine)、Z-100、唑來膦酸(zoledronic acid)或其組合。 Other pharmaceutical agents may be aldesleukin, alendronic acid, alfofone, alitretinoin, allopurinol, aloprim. , aloxi, aldretamine, aminoglutethimide, amifostine, amrubicin, amsacrine, anastrozole (anastrozole), anzmet, aranesp, arglabin, arsenic trioxide, aromasin, 5-azacytidine, Azathioprine, BCG or tice BCG, bestatin, betamethasone acetate, betamethasone sodium phosphate, bexarotene, sulphate Bleomycin sulfate, broxuridine, bortezomib, busulfan, calcitonin, acamtuzumab (campath), capecitabine (capecitabine) ), carboplatin, cassodex, cefesone, simmol (celmoleu) Kin), cerubidine, chlorambucil, cisplatin, cladribine, clodronic acid, cyclophosphamide, ar Cytarabine, dacarbazine, dactinomycin, daunorubicin liposome (DaunoXome), decadron, decatex phosphate, estradiol valerate (delestrogen), denileukin diftitox, depomedrol, deslorelin, dexrazoxane, diethylstilbestrol, diflucan, and more Docetaxel, doxifluridine, doxorubicin, dronabinol, DW-166HC, eligard, elitek, eure Ellence, emend, epirubicin, epoetin alfa, epogen, eptaplatin, ezetimisol (ergamisol), estradiol preparation (estrace), estradiol, estramustine phosphate sodium, ethinyl estradiol, ethymol (ethyol), hydroxyethyl phosphate (etidronic acid), etopophos, etoposide, fadrozole, farston, filgrastim, finasteride, non Gestretin, floxuridine, fluconazole, fludarabine, 5-fluorodeoxyuridine monophosphate, 5-fluorouracil (5-FU) , fluoxymesterone, flutamide, formestane, fosteabine, fotemustine, fulvestrant, gamma gamma Gammagard), gemcitabine, gemtuzumab, gleevec, gliadel, goserelin, granisetron HCl, histamine Histrelin, hycamtin, hydrocortone, erythro-hydroxy adenine (erythro-h) Ydroxynonyladenine), hydroxyurea, ibritumomab tiuxetan, idarubicin, ifosfamide, interferon alpha, interferon-alpha 2, interferon alpha-2A, Interferon alpha-2B, interferon alpha-n1, interferon alpha-n3, interferon beta, interferon gamma-1a, interleukin-2, intron A, iressa, irinotecan (irinotecan), kytril, lentinan sulfate, letrozole, leucovorin, leuprolide, leuprolide Acetate), levamisole, levofolinic acid calcium salt, levothroid, levoxyl, lomustine, lonidamine ), marinol, mechlorethamine, mecobalamin, medroxyprogesterone acetate, megestrol acetate, melphalan, esterification Estrogen preparation (menest), 6-巯嘌呤, mesna sodium (Mesna), methotrexate, metvix, miltefosine, minocycline, mitomycin C, mitoxantrone Mitotane), mitoxantrone, Modrenal, Myocet, nedaplatin, neulasta, neumega, Newbernet (neupogen), nilutamide, nolvadex, NSC-631570, OCT-43, octreotide, ondansetron HCl, prednisone distillation tablets ( Orapred), oxaliplatin, paclitaxel, pediapred, pegaspargase, Pegasys, pentostatin, Picibanil, pilocarpine HCl, pirarubicin, plicamycin, porfimer sodium, prenimustine ), prednisolone, prednisone, premarin, procarbazine, procrit, raltitrexed Raltitrexed), RDEA 119, rebif, rhenium-186 etidronate, rituximab, roferon-A, romurtide , salagen, sandostatin, sargramostim, semustine, sizofiran, sobuzoxane, solu- Medrol), sparfosic acid, stem cell therapy, streptozocin, strontium-89 chloride, synthroid, tamoxifen, tamsulosin Tamsulosin), tasonermin, testolactone, taxotere, teceleukin, temozolomide, teniposide, propionate (testosterone) Propionate), testred, thioguanine, thiotepa, thyrotropin, tiludronic acid, topotecan, tortoise Remifenene, tositumomab, trastuzumab, Quo Shufan (treosulfan), tretinoin, trexall, trimethylmelamine, trimetrexate, triptorelin acetate, hydroxyp-hydroxynamate Ruilin, UFT, uridine, valrubicin, vesnarinone, vinblastine, vincristine, vindesine, vinorelbine , virulizin, zinecard, zinostatin stimalamer, zofran, ABI-007, acolbifene, interferon gamma 1b (actimmune), affinitak, aminopterin, arzoxifene, asoprisnil, atamestane, atrasentan (atrasentan) ), sorafenib, avastin, CCI-779, CDC-501, celebrex, cetuximab, cristatol, acetonitrile Cyproterone acetate, decitabine, DN-101, doxorubicin-MTC, dSLIM, dutasteride, etodoca Edeotecarin, eflornithine, exatecan, fenretinide, histamine dihydrochloride, histamine hydrogel implant, 鈥-166 DOTMP , ibandronic acid, interferon gamma, pegylated interferon (intron-PEG), ixabepilone, keyhole limpet hemocyanin, L-651582 , lanreotide, lasofoxifene, libra, lonafarnib, miproxifene, minodronate, MS-209 , liposomes MTP-PE, MX-6, nafarelin, nemorubicin, neovastat, nolatrexed, olimson (oblimersen) ), vincristine liposome preparation (onco-TCS), orsid (osidem), polyglutamic acid paclitaxel, pamidronate disodium, PN-401, QS-21, Quaxil (quazepam), R-1549, raloxifene, ranpirnase, 13-cis-retinoic acid, satraplatin, seocalcitol, T- 138067, tarceva, taxoprexin, thymosin alpha 1, tiazofurine, tipifarnib, tirapazamine, TLK-286, Torrimi Toremifene, trans MID-107R, valspodar, vapreotide, vatalanib, verteporfin, vinflunine, Z -100, zoledronic acid or a combination thereof.

在本發明之實施例中,如本文所定義之通式(I)之化合物可視情況與以下各項中之一或多者組合來投與:131I-chTNT、阿巴瑞克(abarelix)、阿比特龍(abiraterone)、阿柔比星(aclarubicin)、ado-曲妥珠單抗伊坦辛(ado-trastuzumab emtansine)、阿法替尼(afatinib)、阿柏西普(aflibercept)、阿地白介素、阿侖珠單抗、阿侖膦酸、阿利維A酸、六甲蜜胺、胺磷汀、胺格魯米特、胺基乙醯丙酸己酯、胺柔比星、安吖啶、阿那曲唑、安西司亭(ancestim)、茴香腦二硫雜環戊烯硫酮(anethole dithiolethione)、血管收縮素II、抗凝血酶III、阿瑞吡坦(aprepitant)、阿西莫單抗(arcitumomab)、阿格拉賓、三氧化二砷、天冬醯胺酸酶、阿西替尼(axitinib)、阿紮胞苷(azacitidine)、巴利昔單抗(basiliximab)、貝洛替康(belotecan)、苯達莫司汀(bendamustine)、貝利司他(belinostat)、貝伐珠單抗(bevacizumab)、貝沙羅汀、比卡魯胺(bicalutamide)、比生群(bisantrene)、博來黴素、硼替佐米、布舍瑞林(buserelin)、博舒替尼(bosutinib)、布妥昔單抗凡多替(brentuximab vedotin)、白消安、卡巴他賽(cabazitaxel)、卡博替尼(cabozantinib)、亞葉酸鈣(calcium folinate)、左亞葉酸鈣(calcium levofolinate)、卡培他濱、卡羅單抗(capromab)、卡鉑、卡非佐米(carfilzomib)、卡莫氟(carmofur)、卡莫司汀(carmustine)、卡妥索單抗(catumaxomab)、塞來考昔(celecoxib)、西莫白介素、色瑞替尼(ceritinib)、西妥昔單抗、苯丁酸氮芥、氯地孕酮(chlormadinone)、甲川氯(chlormethine)、西多福韋(cidofovir)、西那卡塞特(cinacalcet)、順鉑、克拉屈濱、氯膦酸、 氯法拉濱(clofarabine)、克立他酶(crisantaspase)、環磷醯胺、環丙孕酮、阿糖胞苷、達卡巴嗪、更生黴素、達依泊汀α(darbepoetin alfa)、達拉菲尼(dabrafenib)、達沙替尼(dasatinib)、道諾黴素(daunorubicin)、地西他濱、地加瑞克(degarelix)、地尼白介素2、地諾單抗、地普奧肽(depreotide)、地洛瑞林、右雷佐生、二溴螺氯銨(dibrospidium chloride)、二去水半乳糖醇、雙氯芬酸(diclofenac)、多西他賽、多拉司瓊(dolasetron)、去氧氟尿苷、多柔比星、多柔比星+雌酮、屈大麻酚、依庫麗單抗(eculizumab)、依決洛單抗(edrecolomab)、依利乙銨(elliptinium acetate)、艾曲波帕(eltrombopag)、內皮他丁(endostatin)、依諾他濱(enocitabine)、恩雜魯胺(enzalutamide)、表柔比星(epirubicin)、環硫雄醇(epitiostanol)、依伯汀α(epoetin alfa)、依泊汀β、依泊汀ζ、依他鉑、艾瑞布林(eribulin)、埃羅替尼(erlotinib)、艾美拉唑(esomeprazole)、雌二醇、雌莫司汀、依託泊苷、依維莫司(everolimus)、依西美坦(exemestane)、法倔唑、芬太尼(fentanyl)、非格司亭、氟甲睪酮、氟尿苷、氟達拉濱、氟尿嘧啶、氟他胺、亞葉酸(folinic acid)、福美坦、福沙吡坦(fosaprepitant)、福莫司汀、氟維司群、釓布醇(gadobutrol)、釓特醇(gadoteridol)、釓特酸葡甲胺(gadoteric acid meglumine)、釓弗塞胺(gadoversetamide)、釓塞酸(gadoxetic acid)、硝酸鎵、加尼瑞克(ganirelix)、吉非替尼(gefitinib)、吉西他濱、吉妥珠單抗、羧肽酶(Glucarpidase)、格魯西姆(glutoxim)、GM-CSF、戈舍瑞林、格拉司瓊、顆粒球聚落刺激因子、組胺二鹽酸鹽、組胺瑞林、羥基脲、I-125粒子、蘭索拉唑(lansoprazole)、伊班膦酸、替伊莫單抗、依魯替尼(ibrutinib)、伊達比星、異環磷醯胺、伊馬替尼、咪喹莫特(imiquimod)、英丙舒凡(improsulfan)、吲地司瓊(indisetron)、英卡膦酸(incadronic acid)、巨大戟醇甲基丁烯酸酯(ingenol mebutate)、幹擾 素α、幹擾素β、幹擾素γ、碘比醇(iobitridol)、碘苄胍(iobenguane)(123I)、碘美普爾(iomeprol)、伊匹單抗(ipilimumab)、伊立替康、伊曲康唑(Itraconazole)、伊沙匹隆、蘭瑞肽、拉帕替尼(lapatinib)、伊索曲林(Iasocholine)、來那度胺(lenalidomide)、來格司亭(lenograstim)、香菇多糖、來曲唑、亮丙瑞林(leuprorelin)、左旋咪唑、左炔諾孕酮(levonorgestrel)、左甲狀腺素鈉(levothyroxine sodium)、利舒脲(lisuride)、洛鉑(lobaplatin)、洛莫司汀、氯尼達明、馬索羅酚(masoprocol)、甲羥孕酮、甲地孕酮、美拉胂醇(melarsoprol)、美法侖、美雄烷(mepitiostane)、巰嘌呤、美司鈉、美沙酮(methadone)、甲胺蝶呤、甲氧沙林(methoxsalen)、胺基乙醯丙酸甲酯、甲基潑尼松龍、甲基睪酮、甲酪胺酸(metirosine)、米伐木肽(mifamurtide)、米替福新、米鉑(miriplatin)、二溴甘露醇(mitobronitol)、米托胍腙(mitoguazone)、二溴衛矛醇(mitolactol)、絲裂黴素、米托坦、米托蒽醌、莫格利珠單抗(mogamulizumab)、莫拉司亭(molgramostim)、莫派達醇(mopidamol)、鹽酸嗎啡(morphine hydrochloride)、硫酸嗎啡、大麻隆(nabilone)、那必西莫(nabiximols)、那法瑞林、納洛酮(naloxone)+噴他佐辛(pentazocine)、納曲酮(naltrexone)、那托司亭(nartograstim)、奈達鉑、奈拉濱(nelarabine)、奈立膦酸(neridronic acid)、納武單抗噴曲肽(nivolumabpentetreotide)、尼羅替尼(nilotinib)、尼魯米特、尼莫唑(nimorazole)、尼妥珠單抗(nimotuzumab)、尼莫司汀、硝胺丙吖啶(nitracrine)、納武單抗、沃必妥珠單抗(obinutuzumab)、奧曲肽、奧法木單抗(ofatumumab)、高三尖杉酯鹼(omacetaxine mepesuccinate)、奧美拉唑(omeprazole)、昂丹司瓊、奧普瑞白介素(oprelvekin)、奧古蛋白(orgotein)、奧替莫德(orilotimod)、奧沙利鉑、羥考酮(oxycodone)、羥甲烯龍(oxymetholone)、奧唑米星(ozogamicine)、(p53基因療法)、太平洋紫 杉醇、帕利夫明(palifermin)、鈀-103粒子、帕洛諾司瓊(palonosetron)、帕米磷酸(pamidronic acid)、帕尼單抗(panitumumab)、泮托拉唑(pantoprazole)、帕唑帕尼(pazopanib)、培門冬酶、PEG-依泊汀β(甲氧基PEG-依泊汀β)、派姆單抗(pembrolizumab)、培非司亭(pegfilgrastim)、聚乙二醇幹擾素α-2b、培美曲塞(pemetrexed)、噴他佐辛、噴司他丁、培洛黴素(peplomycin)、全氟正丁烷(Perflubutane)、培磷醯胺(perfosfamide)、帕妥珠單抗(Pertuzumab)、畢西巴尼、匹魯卡品、吡柔比星、匹克生瓊(pixantrone)、普樂沙福(plerixafor)、普卡黴素、聚胺葡糖(poliglusam)、聚磷酸雌二醇、聚乙烯吡咯啶酮+透明質酸鈉、多糖-K、泊馬度胺(pomalidomide)、帕納替尼(ponatinib)、卟吩姆鈉、普拉曲沙(pralatrexate)、潑尼莫司汀、潑尼松、丙卡巴肼、丙考達唑(procodazole)、普萘洛爾(propranolol)、喹高利特(quinagolide)、雷貝拉唑(rabeprazole)、雷妥莫單抗(racotumomab)、氯化鐳-223、拉多替尼(radotinib)、雷洛昔芬、雷替曲塞、雷莫司瓊(ramosetron)、雷莫蘆單抗(ramucirumab)、雷莫司汀(ranimustine)、拉布立酶(rasburicase)、雷佐生(razoxane)、雷法替尼(refametinib)、瑞格非尼(regorafenib)、利塞膦酸(risedronic acid)、依替膦酸錸-186、利妥昔單抗、羅咪酯肽(romidepsin)、咯咪珀咯(romiplostim)、羅莫肽、羅尼西利(roniciclib)、來昔決南釤(153Sm)(samarium(153Sm)lexidronam)、沙格司亭、沙妥莫單抗(satumomab)、胰泌素、思普留昔-T(sipuleucel-T)、西左非蘭、索布佐生、甘胺雙唑鈉(sodium glycididazole)、索拉非尼、司坦唑醇(stanozolol)、鏈佐星、舒尼替尼(sunitinib)、他拉泊芬(talaporfin)、他米巴羅汀(tamibarotene)、他莫昔芬、他噴他多(tapentadol)、他索那敏、替西白介素、鍀(99mTc)巰諾莫單抗(technetium(99mTc)nofetumomab merpentan)、99mTc-HYNIC-[Tyr3]- 奧曲肽、替加氟(tegafur)、替加氟+吉美嘧啶(gimeracil)+奧替拉西(oteracil)、替莫泊芬(temoporfin)、替莫唑胺、替西羅莫司(temsirolimus)、替尼泊苷、睪酮、替曲膦(tetrofosmin)、沙立度胺(thalidomide)、塞替派、胸腺法新(thymalfasin)、促甲狀腺素α、硫鳥嘌呤、托珠單抗(tocilizumab)、托泊替康、托瑞米芬、托西莫單抗、曲貝替定(trabectedin)、曲馬朵(tramadol)、曲妥珠單抗、曲妥珠單抗伊坦辛、曲奧舒凡、維A酸、曲氟尿苷(trifluridine)+替吡嘧啶(tipiracil)、曲洛司坦(trilostane)、曲普瑞林、曲美替尼(trametinib)、曲磷胺(trofosfamide)、促血小板生成素、色胺酸、烏苯美司(ubenimex)、戊柔比星、凡德他尼(vandetanib)、伐普肽、維羅非尼(vemurafenib)、長春鹼、長春新鹼、長春地辛、長春氟甯、長春瑞濱、維莫德吉(vismodegib)、伏立諾他(vorinostat)、伏氯唑(vorozole)、釔-90玻璃微球體、淨司他丁、淨司他丁斯酯、唑來膦酸、佐柔比星(zorubicin)。 In an embodiment of the invention, a compound of formula (I) as defined herein may optionally be administered in combination with one or more of the following: 131I-chTNT, abarelix, a Abiraterone, aclarubicin, ado-trastuzumab emtansine, afatinib, aflibercept, aldileukin , alemtuzumab, alendronate, alibretin, hexamethylene melamine, amine phosphatine, amine glutamine, hexylamine hexylamine, amrubicin, ampicillin, ar Natrozol, ancestim, anethole dithiolethione, angiotensin II, antithrombin III, aprepitant, acimozumab ( Arcitumomab), agrabin, arsenic trioxide, aspartate, axitinib, azacitidine, basiliximab, belototecan, benzene Bendamustine, belinostat, bevacizumab, bexarotene, bicalutamide Biscentrene, bleomycin, bortezomib, buserelin, bosutinib, brutuximab vedotin, busulfan, kappa Cabazitaxel, cabozantinib, calcium folinate, calcium levofolinate, capecitabine, capromab, carboplatin, carfezo Carfilzomib, carmofur, carmustine, catummaxomab, celecoxib, sir interleukin, ceritinib, west Tetuzumab, chlorambucil, chlormadinone, chlormethine, cidofovir, cinacalcet, cisplatin, cladribine, chlorine Phosphonic acid, Clofarabine, cristantaspase, cyclophosphamide, cyproterone, cytarabine, dacarbazine, dactinomycin, darbepoetin alfa, dala Dabrafenib, dasatinib, daunorubicin, decitabine, degarelix, dinisin 2, denosumab, depopopeptide Depreotide), deslorelin, dexrazoxane, dibrospidium chloride, di-dehydrated galactitol, diclofenac, docetaxel, dolasetron, deoxyfluoride Uridine, doxorubicin, doxorubicin + estrone, dronabinol, eculizumab, edrecolomab, elliptinium acetate, eltrombopam (eltrombopag), endostatin, enocitabine, enzalutamide, epirubicin, epititocolol, ebertin alfa (epoetin alfa) ), epoetin beta, epoetin, itraplatin, eribulin, erlotinib, esomeprazole, Glycol, estramustine, etoposide, everolimus, exemestane, fadrozole, fentanyl, filgrastim, flumethontone, fluorouridine Glycosides, fludarabine, fluorouracil, flutamide, folinic acid, formestane, fosaprepitant, fumustine, fulvestrant, gadobutrol, gent Gadoteridol, gadoteric acid meglumine, gadoversetamide, gadoxetic acid, gallium nitrate, ganirelix, gefitinib ), gemcitabine, gemtuzumab, Glucarpidase, glutoxim, GM-CSF, goserelin, granisetron, granule globular stimulating factor, histamine dihydrochloride , histamine, hydroxyurea, I-125 particles, lansoprazole, ibandronate, tiimumab, ibrutinib, idarubicin, ifosfamide , imatinib, imiquimod, improsulfan, indisetron, incadronic acid, giant Citrifolia alcohol methyl crotonate (ingenol mebutate), interference Au, interferon beta, interferon gamma, iobitidol, iobenguane (123I), iomeprol, ipilimumab, irinotecan, itricone Itraconazole, ixabepilone, lanreotide, lapatinib, issocholine, lenalidomide, lenograstim, lentinan, come Letrozole, leuprorelin, levamisole, levonorgestrel, levothyroxine sodium, lisuride, lobaplatin, lomustine, Lonidadamine, masoprocol, medroxyprogesterone, megestrol, melarsoprol, melphalan, mepitiostane, guanidine, mesna, methadone ), methotrexate, methoxsalen, methyl ampicillin, methylprednisolone, methyl ketone, metirosine, mifamurtide, Mettifosin, miribatin, mitobronitol, mitoguazone, mitophorol Mitomycin, mitoxantrone, mitoxantrone, mogamulizumab, molgramostim, mopidamol, morphine hydrochloride, morphine sulfate, Nabilone, nabiximols, nafarelin, naloxone + pentazocine, naltrexone, nartograstim, neda Platinum, narayabine, neridronic acid, nivolumabpentetreotide, nilotinib, nilutamide, nimorazole, ni Trotuzumab (nimotuzumab), nimustine, nitracrine, naluzumab, obbinutuzumab, octreotide, ofatumumab, high three tips Omecetaxine mepesuccinate, omeprazole, ondansetron, oprelvekin, orgotin, orilotimod, oxaliplatin, hydroxy Oxycodone, oxymetholone, ozogamicine, p53 gene therapy, Taiping Purple Paclitaxel, palifermin, palladium-103 particles, palonosetron, pamidronic acid, panitumumab, pantoprazole, pazodazole Pazopanib, Pembellase, PEG-Epoetin beta (methoxy PEG-Epoetin beta), pembrolizumab, pegfilgrastim, polyethylene glycol interference Alpha-2b, pemetrexed, pentazocine, pentastatin, peplomycin, perflubutane, perfosfamide, patol Pertuzumab, Bisibani, Piluka, pirarubicin, pixantrone, plerixafor, pucamycin, pigolusam, Estradiol polyphosphate, polyvinylpyrrolidone + sodium hyaluronate, polysaccharide-K, pomalidomide, ponatinib, porphyrin sodium, pralatrexate, Prednistatin, prednisone, procarbazine, procdazole, propranolol, quinagolide, rabeprazole, retortomo Monoclonal antibody (racotumomab), radium chloride-223, radotinib, raloxifene, raltitrexed, ramosetron, ramucirumab, remus Ranimustine, rasburicase, razoxane, refamatetinib, regorafenib, risedronic acid, etidronate 186, rituximab, romidepsin, romiplostim, romopeptide, roniciclib, 153Sm (samarium (153Sm) lexidronam) , saxastatin, satumomab, secretin, sipuleucel-T, cilostazol, sobutrazol, sodium glycididazole, Sorafenib, stanozolol, streptozol, sunitinib, talaporfin, tamibarotene, tamoxifen, he sprayed him Tapentadol, tamoximin, ticlopin, m (99mTc) 巯 nomo monoclonal antibody (technetium (99mTc) nofetumomab merpentan), 99mTc-HYNIC-[Tyr3]- Octreotide, tegafur, tegafur + gimeracil + oteracil, temoporfin, temozolomide, temsirolimus, teniposide , fluorenone, tetrofosmin, thalidomide, thiotepa, thymalfasin, thyrotropin alpha, thioguanine, tocilizumab, topotecan , toremifene, tosimozumab, trobectedin, tramadol, trastuzumab, trastuzumab, etoxin, troche, retinoic acid, Trifluridine + tipiracil, trilostane, triptorelin, trametinib, trofosfamide, thrombopoietin, tryptamine Acid, ubenimex, valrubicin, vandetanib, vaprefen, vemurafenib, vinblastine, vincristine, vindesine, vinflunine, Vinorelbine, vismodegib, vorinostat, vorozole, 钇-90 glass microspheres, net statin, net Giddings ester, zoledronic acid, zorubicin (zorubicin).

可添加至組合物中之可選抗過度增殖劑包括(但不限於)Merck Index之第11版(1996)(其以引用方式併入本文中)中之癌症化學療法藥物方案中所列示之化合物,例如天冬醯胺酸酶、博來黴素、卡鉑、卡莫司汀、苯丁酸氮芥、順鉑、左旋天冬醯胺酸酶、環磷醯胺、阿糖胞苷、達卡巴嗪、更生黴素、柔紅黴素(道諾黴素)、多柔比星(阿黴素(adriamycine))、表柔比星、依託泊苷、5-氟尿嘧啶、六甲蜜胺、羥基脲、異環磷醯胺、伊立替康、甲醯四氫葉酸、洛莫司汀、氮芥、6-巰嘌昤、美司鈉、胺甲喋呤、絲裂黴素C、米托蒽醌、潑尼松龍、潑尼松、丙卡巴肼、雷洛昔芬、鏈佐星、他莫昔芬、硫鳥嘌呤、托泊替康、長春鹼、長春新鹼及長春地辛。 Optional anti-hyperproliferative agents that can be added to the composition include, but are not limited to, those listed in the Cancer Chemotherapy Drug Program in the 11th edition of the Merck Index (1996), which is incorporated herein by reference. Compounds such as aspartate proline, bleomycin, carboplatin, carmustine, chlorambucil, cisplatin, L-aspartate prolase, cyclophosphamide, cytarabine, Dacarbazine, dactinomycin, daunorubicin (danomycin), doxorubicin (adriamycine), epirubicin, etoposide, 5-fluorouracil, hexamethylene melamine, hydroxyl Urea, ifosfamide, irinotecan, formazan tetrahydrofolate, lomustine, nitrogen mustard, 6-oxime, mesna, methotrexate, mitomycin C, mitoxantrone醌, prednisolone, prednisone, procarbazine, raloxifene, streptozin, tamoxifen, thioguanine, topotecan, vinblastine, vincristine and vindesine.

適用於本發明組合物中之其他抗過度增殖劑包括(但不限於)Goodman及Gilman,The Pharmacological Basis of Therapeutics(第 9版),Molinoff等人編輯,McGraw-Hill出版,第1225-1287頁(1996)(其以引用方式併入本文中)中認為可用於治療腫瘤疾病之化合物,例如胺魯米特、L-天冬醯胺酸酶、硫唑嘌呤、5-氮雜胞苷、克拉屈濱、白消安、乙烯雌酚、2',2'-二氟去氧胞苷、多西他賽、赤羥基壬基腺嘌呤、炔雌醇、5-氟去氧尿苷、單磷酸5-氟去氧尿苷、磷酸氟達拉濱、氟甲睪酮、氟他胺、己酸羥孕酮、伊達比星、幹擾素、乙酸甲羥孕酮、乙酸甲地孕酮、美法侖、米托坦、太平洋紫杉醇、噴司他丁、N-膦醯基乙醯基-L-天冬胺酸(PALA)、普卡黴素、司莫司汀、替尼泊苷、丙酸睪固酮、噻替派、三甲蜜胺、尿苷及長春瑞濱。 Other anti-hyperproliferative agents suitable for use in the compositions of the present invention include, but are not limited to, Goodman and Gilman, The Pharmacological Basis of Therapeutics (p. Version 9), edited by Molinoff et al., published by McGraw-Hill, pp. 1225-1287 (1996), which is incorporated herein by reference, which is incorporated herein by reference in its entirety, for the benefit of, for example, Aspartate glutaminase, azathioprine, 5-azacytidine, cladribine, busulfan, diethylstilbestrol, 2',2'-difluorodeoxycytidine, docetaxel, erythrocyte Adenine adenine, ethinyl estradiol, 5-fluorodeoxyuridine, 5-fluorodeoxyuridine monophosphate, fludarabine phosphate, fluoromethyl ketone, flutamide, hydroxyprogesterone caproate, idarubicin , interferon, medroxyprogesterone acetate, megestrol acetate, melphalan, mitoxantrone, paclitaxel, pentastatin, N-phosphonium decyl-L-aspartic acid (PALA) , pucamycin, semustine, teniposide, propionate propionate, thiotepa, trimethyl melamine, uridine and vinorelbine.

適用於本發明組合物中之其他抗過度增殖劑包括(但不限於)其他抗癌劑,例如埃博黴素(epothilone)及其衍生物、伊立替康、雷洛昔芬及托泊替康。 Other anti-hyperproliferative agents suitable for use in the compositions of the present invention include, but are not limited to, other anticancer agents such as epothilone and its derivatives, irinotecan, raloxifene and topotecan .

本發明化合物亦可與蛋白治療劑組合投與。適於治療癌症或其他血管生成病症且適於與本發明組合物一起使用之該等蛋白治療劑包括(但不限於)幹擾素(例如,幹擾素α、β或γ)、超激動性單株抗體、圖賓根(Tuebingen)、TRP-1蛋白疫苗、初乳素(Colostrinin)、抗FAP抗體、YH-16、吉妥珠單抗、英夫利昔單抗(infliximab)、西妥昔單抗、曲妥珠單抗、地尼白介素、利妥昔單抗、胸腺素α 1、貝伐珠單抗、美卡舍明(mecasermin)、美卡舍明林菲培(mecasermin rinfabate)、奧普瑞白介素、那他珠單抗(natalizumab)、rhMBL、MFE-CP1+ZD-2767-P、ABT-828、ErbB2-特異性免疫毒素、SGN-35、MT-103、林菲培、AS-1402、B43-金雀異黃酮(genistein)、基於L-19之放射免疫治療劑、AC-9301、NY-ESO-1疫苗、IMC-1C11、CT-322、rhCC10、r(m)CRP、MORAb-009、阿維庫明(aviscumine)、MDX-1307、Her-2疫苗、APC-8024、NGR-hTNF、rhH1.3、IGN-311、內皮他丁、伏洛昔單抗(volociximab)、PRO-1762、來沙木單抗(lexatumumab)、SGN- 40、帕妥珠單抗、EMD-273063、L19-IL-2融合蛋白、PRX-321、CNTO-328、MDX-214、替加泊肽(tigapotide)、CAT-3888、拉貝珠單抗(labetuzumab)、發射α-粒子之放射性同位素連接之林妥珠單抗(alpha-particle-emitting radioisotope-llinked lintuzumab)、EM-1421、HyperAcute疫苗、西莫白介素單抗(tucotuzumab celmoleukin)、加利昔單抗(galiximab)、HPV-16-E7、Javelin-前列腺癌、Javelin-黑素瘤、NY-ESO-1疫苗、EGF疫苗、CYT-004-MelQbG10、WT1肽、奧戈伏單抗(oregovomab)、奧法木單抗、紮魯木單抗(zalutumumab)、貝辛白介素(cintredekin besudotox)、WX-G250、阿布非隆(Albuferon)、阿柏西普、地諾單抗、疫苗、CTP-37、依芬古單抗(efungumab)或131I-chTNT-1/B。可用作蛋白治療劑之單株抗體包括(但不限於)莫羅單抗-CD3(muromonab-CD3)、阿昔單抗(abciximab)、依決洛單抗、達克珠單抗(daclizumab)、吉妥珠單抗、阿侖珠單抗、替伊莫單抗、西妥昔單抗、貝伐珠單抗、依法珠單抗(efalizumab)、阿達木單抗(adalimumab)、奧馬珠單抗(omalizumab)、莫羅單抗-CD3(muromomab-CD3)、利妥昔單抗、達克珠單抗、曲妥珠單抗、帕利珠單抗(palivizumab)、巴利昔單抗及英夫利昔單抗。 The compounds of the invention may also be administered in combination with a protein therapeutic. Such protein therapeutic agents suitable for treating cancer or other angiogenic disorders and suitable for use with the compositions of the invention include, but are not limited to, interferons (eg, interferon alpha, beta or gamma), super-exciting individuals Antibody, Tuebingen, TRP-1 protein vaccine, colostatin, anti-FAP antibody, YH-16, gemtuzumab, infliximab, cetuximab , trastuzumab, dinisin, rituximab, thymosin alpha 1, bevacizumab, mecasermin, mecasermin rinfabate, opp Rui interleukin, natalizumab, rhMBL, MFE-CP1+ZD-2767-P, ABT-828, ErbB2-specific immunotoxin, SGN-35, MT-103, Lin Feipei, AS-1402 , B43-Genistein, radioimmunotherapy agent based on L-19, AC-9301, NY-ESO-1 vaccine, IMC-1C11, CT-322, rhCC10, r(m)CRP, MORAb- 009, aviscurin, MDX-1307, Her-2 vaccine, APC-8024, NGR-hTNF, rhH1.3, IGN-311, endostatin, volociximab, PRO- 1762, come to Shalimumab (lex Atumumab), SGN- 40, Pertuzumab, EMD-273063, L19-IL-2 fusion protein, PRX-321, CNTO-328, MDX-214, tigapotide, CAT-3888, Rabezumab ( Labetuzumab), alpha-particle-emitting radioisotope-llinked lintuzumab, EM-1421, HyperAcute vaccine, tucotuzumab celmoleukin, galivizine Anti-galiximab, HPV-16-E7, Javelin-prostate cancer, Javelin-melanoma, NY-ESO-1 vaccine, EGF vaccine, CYT-004-MelQbG10, WT1 peptide, orgoviromab, Olfazumab, zalutumumab, cintredekin besudotox, WX-G250, Albuferon, aboxicept, denosumab, vaccine, CTP-37, Efungumab or 131I-chTNT-1/B. Monoclonal antibodies that can be used as protein therapeutics include, but are not limited to, morozumab-CD3 (muromonab-CD3), abciximab, edrezumab, daclizumab , gemtuzumab, alemtuzumab, temimumab, cetuximab, bevacizumab, efalizumab, adalimumab, omalim Anti- (omalizumab), morozumab-CD3 (muromomab-CD3), rituximab, daclizumab, trastuzumab, palivizumab, basiliximab and Infliximab.

如本文所定義之通式(I)之化合物可視情況與以下各項中之一或多者組合投與:ARRY-162、ARRY-300、ARRY-704、AS-703026、AZD-5363、AZD-8055、BEZ-235、BGT-226、BKM-120、BYL-719、CAL-101、CC-223、CH-5132799、地羅莫司(deforolimus)、E-6201、恩紮妥林(enzastaurin)、GDC-0032、GDC-0068、GDC-0623、GDC-0941、GDC-0973、GDC-0980、GSK-2110183、GSK-2126458、GSK-2141795、MK-2206、諾沃莫司(novolimus)、OSI-027、派立福辛(perifosine)、PF-04691502、PF-05212384、PX-866、雷帕黴素(rapamycin)、RG-7167、RO-4987655、RO-5126766、司美替尼 (selumetinib)、TAK-733、曲美替尼、曲西立濱(triciribine)、UCN-01、WX-554、XL-147、XL-765、佐他莫司(zotarolimus)、ZSTK-474。 A compound of formula (I) as defined herein may optionally be administered in combination with one or more of the following: ARRY-162, ARRY-300, ARRY-704, AS-703026, AZD-5363, AZD- 8055, BEZ-235, BGT-226, BKM-120, BYL-719, CAL-101, CC-223, CH-5132799, deforolimus, E-6201, enzastaurin, GDC-0032, GDC-0068, GDC-0623, GDC-0941, GDC-0973, GDC-0980, GSK-2110183, GSK-2126458, GSK-2141795, MK-2206, Novolimus, OSI- 027, perifosine, PF-04691502, PF-05212384, PX-866, rapamycin, RG-7167, RO-4987655, RO-5126766, stermidine (selumetinib), TAK-733, trimetinib, triciribine, UCN-01, WX-554, XL-147, XL-765, zotarolimus, ZSTK-474.

通常,細胞毒性劑及/或細胞生長抑制劑與本發明化合物或組合物組合使用將用以:(1)與僅投與任一藥劑相比,在降低腫瘤生長方面獲得更佳功效或甚至消除腫瘤,(2)可投與較少量之所投與化學治療劑,(3)提供與用單一藥劑化學療法及某些其他組合療法所觀察到相比,在患者中耐受良好且有害藥理學併發症較少之化學治療性治療,(4)為哺乳動物、尤其人類提供較寬範圍之不同癌症類型之治療,(5)在所治療患者中提供較高反應率,(6)與標準化學療法治療相比,在所治療患者中提供較長存活時間,(7)提供較長腫瘤進展時間,及/或(8)與其他癌症藥劑組合產生拮抗效應之已知情形相比,獲得至少與單獨使用該等藥劑同樣良好之功效及耐受性結果。 In general, cytotoxic agents and/or cytostatic agents in combination with a compound or composition of the invention will be used to: (1) achieve better efficacy or even eliminate in reducing tumor growth compared to administration of only one agent alone. Tumors, (2) can be administered with smaller amounts of administered chemotherapeutic agents, (3) provide well tolerated and harmful pharmacological agents in patients compared to those observed with single agent chemotherapy and certain other combination therapies Chemotherapy with less complications, (4) providing a wide range of different cancer types for mammals, especially humans, (5) providing higher response rates in treated patients, (6) and standards Compared to chemotherapy treatment, providing longer survival time in the treated patient, (7) providing longer tumor progression time, and/or (8) compared to known cases in which other cancer agents produce an antagonistic effect, at least The use of these agents alone provides equally good efficacy and tolerability results.

根據實施例,式(I)化合物係與一或多種選自以下之其他活性成份組合使用或投與:紫杉烷(taxane),例如多西他賽、太平洋紫杉醇或紫杉醇(Taxol);埃博黴素,例如伊沙匹隆、帕土匹隆(Patupilone)或沙戈匹隆(Sagopilone);米托蒽醌;潑尼松龍;地塞米松(Dexamethasone);雌莫司汀;長春鹼;長春新鹼;多柔比星;阿黴素;伊達比星;道諾黴素;博來黴素;依託泊苷;環磷醯胺;異環磷醯胺;丙卡巴肼;美法侖;5-氟尿嘧啶;卡培他濱;氟達拉濱;阿糖 胞苷;Ara-C;2-氯-2'-去氧腺苷;硫鳥嘌呤;抗雄激素,例如氟他胺、乙酸環丙孕酮或比卡魯胺;硼替佐米;鉑衍生物,例如順鉑或卡鉑;苯丁酸氮芥;甲胺蝶呤;利妥昔單抗;及鹼土放射性核種鐳-223之醫藥上可接受之鹽。 According to an embodiment, the compound of formula (I) is used or administered in combination with one or more other active ingredients selected from the group consisting of taxanes such as docetaxel, paclitaxel or paclitaxel (Taxol); Ebo , for example, ixabepilone, Patugilone or Sagopilone; mitoxantrone; prednisolone; dexamethasone; estramustine; vinblastine; Vincristine; doxorubicin; doxorubicin; idarubicin; daunorubicin; bleomycin; etoposide; cyclophosphamide; ifosfamide; procarbazine; melphalan; 5-fluorouracil; capecitabine; fludarabine; arabinose Cytidine; Ara-C; 2-chloro-2'-deoxyadenosine; thioguanine; antiandrogen, such as flutamide, cyproterone acetate or bicalutamide; bortezomib; platinum derivative For example, cisplatin or carboplatin; chlorambucil; methotrexate; rituximab; and pharmaceutically acceptable salts of alkaline earth radioactive seed radium-223.

式(I)化合物與選自以下各項之適宜組合:5-FU或5-FU之前藥,例如5'-去氧-5-氟尿苷、卡培他濱、BOF-A2、替加氟、UFT或S-1;基於鉑之抗腫瘤劑,例如奧沙利鉑、順鉑或卡鉑;及紫杉烷,例如多西他賽或太平洋紫杉醇;或其組合,闡述於優先權申請案EP15159490.0中,該案係以全文引用方式併入本文中。 A suitable combination of a compound of formula (I) and a: 5-FU or 5-FU prodrug, such as 5'-deoxy-5-fluorouridine, capecitabine, BOF-A2, tegafur , UFT or S-1; platinum-based antitumor agents, such as oxaliplatin, cisplatin or carboplatin; and taxanes, such as docetaxel or paclitaxel; or combinations thereof, as set forth in the priority application In EP 15159490.0, the case is hereby incorporated by reference in its entirety.

根據實施例,式(I)化合物係根據本發明投藥方案與選自以下各項之抗過度增殖劑、細胞毒性劑及細胞生長抑制劑組合使用或投與:5-FU或5-FU之前藥,例如5'-去氧-5-氟尿苷、卡培他濱、BOF-A2、替加氟、UFT或S-1;基於鉑之抗腫瘤劑,例如奧沙利鉑、順鉑或卡鉑;及紫杉烷,例如多西他賽或太平洋紫杉醇;或其組合。 According to an embodiment, the compound of formula (I) is administered or administered in combination with an anti-hyperproliferative agent, a cytotoxic agent and a cytostatic agent selected from the group consisting of 5-FU or 5-FU before administration according to the present invention. For example, 5'-deoxy-5-fluorouridine, capecitabine, BOF-A2, tegafur, UFT or S-1; platinum-based antitumor agents such as oxaliplatin, cisplatin or card Platinum; and a taxane such as docetaxel or paclitaxel; or a combination thereof.

式(I)化合物與選自5-FU、卡培他濱、奧沙利鉑及太平洋紫杉醇或其組合之藥劑之適宜組合闡述於優先權申請案EP15159490.0、EP14196142.5及EP15164342.6中,該等案件係以全文引用方式併入本文中。 Suitable combinations of the compounds of the formula (I) with those selected from the group consisting of 5-FU, capecitabine, oxaliplatin and paclitaxel or combinations thereof are described in priority applications EP 15159490.0, EP 14196142.5 and EP 15164342.6 These cases are incorporated herein by reference in their entirety.

根據實施例,式(I)化合物係根據本發明投藥方案與選自以下之抗過度增殖、細胞毒性劑及細胞生長抑制劑組合使用或投與:5-FU、卡培他濱、奧沙利鉑及太平洋紫杉醇或其組合。 According to an embodiment, the compound of formula (I) is administered or administered in combination with an anti-hyperproliferation, cytotoxic agent and a cell growth inhibitor selected from the group consisting of 5-FU, capecitabine, oxaliplatin according to the present invention. Platinum and paclitaxel or a combination thereof.

式(I)化合物與鹼土放射性核種鐳-223之醫藥上可接受之鹽之適宜組合闡述於PCT/EP2014/076053(WO2015/082378)及優先權申請案EP14163751.2及EP13195566.8中,該所有三個申請案皆以引用方式併入本文中。 Suitable combinations of the pharmaceutically acceptable salts of the compound of the formula (I) with the alkaline earth radioactive seed radium-223 are described in PCT/EP2014/076053 (WO2015/082378) and priority applications EP 14163751.2 and EP 13195566.8, all All three applications are incorporated herein by reference.

根據實施例,式(I)化合物係與鹼土放射性核種鐳-223之醫藥上可 接受之鹽(例如二氯化鐳-223)組合使用或投與。在實施例中,包含式(I)化合物及鹼土放射性核種鐳-223之醫藥上可接受之鹽(例如二氯化鐳-223)之組合係與抗雄激素療法(例如,雄激素生物合成抑制劑,例如,酮康唑(ketoconazole)及阿比特龍)及/或雄激素受體阻斷劑(例如,比卡魯胺、尼魯米特、氟他胺或恩雜魯胺)組合使用或投與。較佳地,該抗雄激素係選自比卡魯胺、恩雜魯胺及阿比特龍。 According to an embodiment, the compound of formula (I) is compatible with the alkaline earth radioactive seed radium-223. The accepted salt (for example, radium dichloride-223) is used in combination or administered. In an embodiment, a combination comprising a compound of formula (I) and a pharmaceutically acceptable salt of alkaline earth radioactive seed radium-223 (eg, radium dichloride-223) and anti-androgen therapy (eg, androgen biosynthesis inhibition) Agents, for example, ketoconazole and abiraterone and/or androgen receptor blockers (for example, bicalutamide, nilutamide, flutamide or enzalutamide) or Cast. Preferably, the antiandrogen is selected from the group consisting of bicalutamide, enzalutamide and abiraterone.

式(I)化合物及其他活性成份之投藥方案可相同或不同:每一者均可在同一時間或在不同時間投與;該組合之化合物可在同一天或在不同日期投與。因此,應瞭解組合之化合物可依序(例如之前或之後)投與或在同一醫藥調配物中(即一起)或在不同醫藥調配物中(即單獨地)伴隨地投與。同時地在同一調配物中係作為單一調配物,而同時地在不同醫藥調配物中係非單一的。組合療法中兩種或更多種化合物中之每一者之投與方案之投與途徑亦可不同。 The administration regimen of the compound of formula (I) and other active ingredients may be the same or different: each may be administered at the same time or at different times; the compounds of the combination may be administered on the same day or on different days. Thus, it will be appreciated that the combined compounds can be administered sequentially (e.g., before or after) or in the same pharmaceutical formulation (i.e., together) or in a different pharmaceutical formulation (i.e., separately). Simultaneously in the same formulation as a single formulation, while at the same time in a different pharmaceutical formulation is not a single. The route of administration of the two or more compounds in combination therapy may also vary.

根據實施例,與另外一或多種其他活性成份同時、伴隨、單獨或依序投與式(I)化合物。 According to an embodiment, the compound of formula (I) is administered simultaneously, concomitantly, separately or sequentially with one or more additional active ingredients.

在較佳實施例中,式(I)化合物係化合物A1(Cpd A1)或N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺。 In a preferred embodiment, the compound of formula (I) is compound A1 (Cpd A1) or N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy }-7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide.

使細胞對輻射敏感化之方法Method of sensitizing cells to radiation

在本發明之不同實施例中,可根據本發明之投藥方案使用本發明化合物使細胞對輻射敏感化。亦即,在對細胞進行輻射處理前根據本發明之投藥方案用本發明化合物處理細胞使得細胞較細胞原本在不存利用本發明化合物之任何處理下更易發生DNA損傷及細胞死亡。在一個態樣中,用至少一種本發明化合物處理細胞。 In various embodiments of the invention, the compounds of the invention may be used to sensitize cells to radiation in accordance with the dosage regimen of the invention. That is, treatment of cells with a compound of the present invention according to the administration scheme of the present invention prior to radiation treatment of cells renders the cells more susceptible to DNA damage and cell death than any treatment by which the cells are present without the use of the compounds of the present invention. In one aspect, the cells are treated with at least one compound of the invention.

因此,本發明亦提供殺傷細胞之方法,其中根據本發明之投藥方案向細胞投與一或多種本發明化合物與習用輻射療法之組合。 Accordingly, the present invention also provides a method of killing cells, wherein a combination of one or more compounds of the present invention and conventional radiation therapy is administered to a cell according to the administration protocol of the present invention.

本發明亦提供使細胞更易發生細胞死亡之方法,其中在處理細胞前根據本發明之投藥方案用一或多種本發明化合物處理細胞以引起或誘導細胞死亡。在一個態樣中,出於抑制正常細胞之功能或殺傷細胞之目的,在用一或多種本發明化合物處理細胞後,根據本發明之投藥方案用至少一種化合物或至少一種方法或其組合處理細胞,以引起DNA損傷。 The invention also provides a method of making cells more susceptible to cell death, wherein the cells are treated with one or more compounds of the invention to cause or induce cell death in accordance with the dosage regimen of the invention prior to treating the cells. In one aspect, the cells are treated with at least one compound or at least one method or a combination thereof according to the administration scheme of the present invention after treating the cells with one or more compounds of the present invention for the purpose of inhibiting the function of normal cells or killing cells. To cause DNA damage.

在一個實施例中,藉由用至少一種DNA損傷劑處理細胞來殺傷細胞。亦即,在用一或多種本發明化合物處理細胞以使細胞對細胞死亡敏感化後,用至少一種DNA損傷劑處理細胞以殺傷細胞。用於本發明中之DNA損傷劑包括(但不限於)化學治療劑(例如,順鉑)、電離輻射(X射線、紫外輻射)、致癌劑及誘變劑。 In one embodiment, the cells are killed by treating the cells with at least one DNA damaging agent. That is, after treating the cells with one or more compounds of the invention to sensitize the cells to cell death, the cells are treated with at least one DNA damaging agent to kill the cells. DNA damaging agents for use in the present invention include, but are not limited to, chemotherapeutic agents (e.g., cisplatin), ionizing radiation (X-rays, ultraviolet radiation), carcinogens, and mutagens.

在另一實施例中,藉由用至少一種方法處理細胞以引起或誘導DNA損傷來殺傷細胞。該等方法包括(但不限於)當途徑活化時會導致DNA損傷之細胞信號傳導途徑之活化、當途徑受到抑制時會導致DNA損傷之細胞信號傳導途徑之抑制及誘導細胞中之生物化學變化,其中變化導致DNA損傷。作為非限制性實例,細胞中之DNA修復途徑可受到抑制,藉此防止DNA損傷之修復並導致細胞中異常累積DNA損傷。 In another embodiment, the cells are killed by treating the cells with at least one method to cause or induce DNA damage. Such methods include, but are not limited to, activation of a cellular signaling pathway that results in DNA damage when the pathway is activated, inhibition of cellular signaling pathways that result in DNA damage when the pathway is inhibited, and induction of biochemical changes in the cell, Among them, changes lead to DNA damage. As a non-limiting example, the DNA repair pathway in a cell can be inhibited, thereby preventing repair of DNA damage and causing abnormal accumulation of DNA damage in the cell.

在本發明之一個態樣中,在細胞中進行輻射或其他DNA損傷誘導之前,根據本發明之投藥方案將本發明化合物投與細胞。在本發明之一個態樣中,將本發明化合物投與細胞,同時在細胞中進行輻射或其他DNA損傷誘導。在本發明之一個態樣中,在已在細胞中開始輻射或其他DNA損傷誘導後立即將本發明化合物投與細胞。 In one aspect of the invention, a compound of the invention is administered to a cell according to the dosage regimen of the invention prior to the induction of radiation or other DNA damage in the cell. In one aspect of the invention, a compound of the invention is administered to a cell while undergoing radiation or other DNA damage induction in the cell. In one aspect of the invention, the compounds of the invention are administered to cells immediately after initiation of radiation or other DNA damage induction in the cells.

在另一態樣中,細胞係在活體外。在另一實施例中,細胞係在活體內。 In another aspect, the cell line is in vitro. In another embodiment, the cell line is in vivo.

如上文所提及,已驚奇地發現本發明化合物有效地抑制PI3K且 因此可用於治療或預防失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病或伴隨失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病,具體而言其中失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應係由PI3K介導,例如,血液腫瘤、實體腫瘤及/或其轉移,例如白血病及脊髓發育不良症候群、惡性淋巴瘤、頭頸部腫瘤(包括腦瘤及腦轉移)、胸部腫瘤(包括非小細胞及小細胞肺腫瘤)、胃腸道腫瘤、內分泌腫瘤、乳腺及其他婦科腫瘤、泌尿系統腫瘤(包括腎腫瘤、膀胱腫瘤及前列腺腫瘤)、皮膚腫瘤及肉瘤及/或其轉移。 As mentioned above, it has surprisingly been found that the compounds of the invention effectively inhibit PI3K and It can therefore be used to treat or prevent diseases of uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune responses or inappropriate cellular inflammatory responses or associated with uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune responses or A disease in which an appropriate cellular inflammatory response, in particular, uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cellular inflammatory response is mediated by PI3K, eg, a hematological tumor, a solid tumor, and/or Metastasis, such as leukemia and myelodysplastic syndromes, malignant lymphoma, head and neck tumors (including brain tumors and brain metastases), chest tumors (including non-small cell and small cell lung tumors), gastrointestinal tumors, endocrine tumors, breast and other Gynecological tumors, urinary system tumors (including kidney tumors, bladder tumors, and prostate tumors), skin tumors and sarcomas and/or their metastases.

因此,根據另一態樣,本發明涵蓋通式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言其醫藥上可接受之鹽或其混合物,如本文所闡述及定義,其用於根據本發明之投藥方案治療或預防如上文所提及之疾病。 Thus, according to another aspect, the invention encompasses a compound of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular, pharmaceutically The accepted salt or mixture thereof, as set forth and defined herein, is used in the treatment or prevention of a disease as mentioned above in accordance with the administration regimen of the present invention.

因此,本發明之另一具體態樣係上文所闡述之通式(I)化合物用於製造用以根據本發明之投藥方案治療或預防疾病之醫藥組合物的用途。 Accordingly, another embodiment of the invention is the use of a compound of formula (I) as set forth above for the manufacture of a pharmaceutical composition for treating or preventing a disease according to the administration regimen of the invention.

前兩段中所提及之疾病係失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病或伴隨失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病,具體而言其中失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應係由PI3K介導,例如,血液腫瘤、實體腫瘤及/或其轉移,例如白血病及脊髓發育不良症候群、惡性淋巴瘤、頭頸部腫瘤(包括腦瘤及腦轉移)、胸部腫瘤(包括非小細胞及小細胞肺腫瘤)、胃腸道腫瘤、內分泌腫瘤、乳腺及其他婦科腫瘤、泌尿系統腫瘤(包括腎腫瘤、膀胱腫瘤及前列腺腫瘤)、皮膚腫瘤及肉瘤及/ 或其轉移。 The diseases mentioned in the first two paragraphs are diseases of uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cellular inflammatory response or accompanying uncontrolled cell growth, proliferation and/or survival, inappropriate cells A disease in which an immune response or an inappropriate cell inflammatory response, in particular, uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cell inflammatory response is mediated by PI3K, for example, hematological tumor, solid tumor And/or its metastasis, such as leukemia and myelodysplastic syndrome, malignant lymphoma, head and neck tumors (including brain tumors and brain metastases), chest tumors (including non-small cell and small cell lung tumors), gastrointestinal tumors, endocrine tumors , breast and other gynecological tumors, urological tumors (including kidney tumors, bladder tumors and prostate tumors), skin tumors and sarcomas and / Or its transfer.

本文所用術語「不適當」在本發明上下文中、具體而言在「不適當細胞免疫反應或不適當細胞發炎反應」之背景下應理解為較佳意指小於或大於正常且與該等疾病之病理相關、造成或導致該病理之反應。 The term "inappropriate" as used herein, in the context of the present invention, particularly in the context of "inappropriate cellular immune response or inappropriate cellular inflammatory response", is understood to preferably mean less than or greater than normal and with such diseases. Pathologically related, causing or causing a response to the pathology.

較佳地,該用途係用於根據本發明之投藥方案治療或預防疾病,其中該等疾病係血液腫瘤、實體腫瘤及/或其轉移。 Preferably, the use is for the treatment or prevention of a disease according to the administration regimen of the invention, wherein the diseases are hematological tumors, solid tumors and/or metastasis thereof.

治療過度增殖性病症之方法Method for treating hyperproliferative disorders

本發明係關於使用根據本發明之投藥方案之化合物及其組合物來治療哺乳動物過度增殖性病症之方法。可利用化合物來抑制、阻斷、減少、降低(等)細胞增殖及/或細胞分裂及/或產生細胞凋亡。該方法包含向有需要之哺乳動物(包括人類)投與一定量之可有效治療該病症之本發明化合物或其醫藥上可接受之鹽、異構物、多晶形物、代謝物、水合物、溶劑合物或酯等。過度增殖性病症包括(但不限於)(例如)牛皮癬、瘢痕疙瘩及侵襲皮膚之其他增生、良性前列腺增生(BPH)、實體腫瘤(例如乳癌、呼吸道癌、腦癌、生殖器癌、消化道癌、尿路癌、眼癌、肝癌、皮膚癌、頭頸癌、甲狀腺癌、甲狀旁腺癌)及其遠端轉移。彼等病症亦包括淋巴瘤、肉瘤及白血病。 The present invention relates to a method of treating a hyperproliferative disorder in a mammal using a compound according to the administration scheme of the present invention and a composition thereof. Compounds can be utilized to inhibit, block, reduce, reduce (etc.) cell proliferation and/or cell division and/or produce apoptosis. The method comprises administering to a mammal, including a human, in need thereof, an amount of a compound of the invention, or a pharmaceutically acceptable salt, isomer, polymorph, metabolite, hydrate thereof, effective to treat the condition, Solvate or ester. Hyperproliferative disorders include, but are not limited to, for example, psoriasis, keloids, and other hyperplasia of the skin, benign prostatic hyperplasia (BPH), solid tumors (eg, breast cancer, respiratory cancer, brain cancer, genital cancer, digestive tract cancer, Urinary tract cancer, eye cancer, liver cancer, skin cancer, head and neck cancer, thyroid cancer, parathyroid cancer and its distant metastasis. These conditions also include lymphoma, sarcoma and leukemia.

乳癌之實例包括(但不限於)浸潤性導管癌、浸潤性小葉癌、原位導管癌及原位小葉癌。 Examples of breast cancer include, but are not limited to, invasive ductal carcinoma, invasive lobular carcinoma, ductal carcinoma in situ, and lobular carcinoma in situ.

呼吸道癌之實例包括(但不限於)小細胞及非小細胞肺癌以及支氣管腺瘤及胸膜肺胚細胞瘤。 Examples of respiratory cancer include, but are not limited to, small cell and non-small cell lung cancer as well as bronchial adenoma and pleural pulmonary blastoma.

腦癌之實例包括(但不限於)腦幹及下丘腦膠質瘤、小腦及大腦星形細胞瘤、髓母細胞瘤、室管膜瘤以及神經外胚層及松果體瘤。 Examples of brain cancer include, but are not limited to, brain stem and hypothalamic glioma, cerebellum and cerebral astrocytoma, medulloblastoma, ependymoma, and neuroectoderm and pineal tumor.

雄性生殖器之腫瘤包括(但不限於)前列腺癌及睪丸癌。雌性生殖器之腫瘤包括(但不限於)子宮內膜癌、宮頸癌、卵巢癌、陰道癌及外 陰癌以及子宮肉瘤。 Tumors of the male genitalia include, but are not limited to, prostate cancer and testicular cancer. Tumors of the female genitalia include, but are not limited to, endometrial cancer, cervical cancer, ovarian cancer, vaginal cancer, and Yin cancer and uterine sarcoma.

消化道之腫瘤包括(但不限於)肛門癌、結腸癌、結腸直腸癌、食道癌、膽囊癌、胃癌、胰臟癌、直腸癌、小腸癌及唾腺癌。 Tumors of the digestive tract include, but are not limited to, anal cancer, colon cancer, colorectal cancer, esophageal cancer, gallbladder cancer, gastric cancer, pancreatic cancer, rectal cancer, small intestine cancer, and salivary gland cancer.

尿路之腫瘤包括(但不限於)膀胱癌、陰莖癌、腎癌、腎盂癌、輸尿管癌、尿道癌及人類乳頭狀腎癌。 Tumors of the urinary tract include, but are not limited to, bladder cancer, penile cancer, kidney cancer, renal pelvic cancer, ureteral cancer, urethral cancer, and human papillary renal cancer.

眼癌包括(但不限於)眼內黑素瘤及視網膜母細胞瘤。 Eye cancer includes, but is not limited to, intraocular melanoma and retinoblastoma.

肝癌之實例包括(但不限於)肝細胞癌(具有或不具有纖維板層變體之肝細胞癌)、膽管癌(肝管膽管癌)及混合型肝細胞膽管癌。 Examples of liver cancer include, but are not limited to, hepatocellular carcinoma (hepatocellular carcinoma with or without fibrolamellar variant), cholangiocarcinoma (hepatic duct cholangiocarcinoma), and mixed hepatocyte cholangiocarcinoma.

皮膚癌包括(但不限於)鱗狀細胞癌、卡波西氏肉瘤(Kaposi’s sarcoma)、惡性黑素瘤、默克爾細胞皮膚癌(Merkel cell skin cancer)及非黑素瘤皮膚癌。 Skin cancers include, but are not limited to, squamous cell carcinoma, Kaposi's sarcoma, malignant melanoma, Merkel cell skin cancer, and non-melanoma skin cancer.

頭頸癌包括(但不限於)喉癌、下嚥癌、鼻咽癌、口咽癌、唇及口腔癌及鱗狀細胞癌。淋巴瘤包括(但不限於)AIDS相關性淋巴瘤、非何傑金氏淋巴瘤(non-Hodgkin’s lymphoma)、皮膚T-細胞淋巴瘤、伯基特淋巴瘤(Burkitt lymphoma)、何傑金氏病及中樞神經系統淋巴瘤。 Head and neck cancer includes, but is not limited to, laryngeal cancer, hypopharyngeal cancer, nasopharyngeal cancer, oropharyngeal cancer, lip and oral cancer, and squamous cell carcinoma. Lymphomas include, but are not limited to, AIDS-related lymphoma, non-Hodgkin's lymphoma, cutaneous T-cell lymphoma, Burkitt lymphoma, Hodgkin's disease And central nervous system lymphoma.

肉瘤包括(但不限於)軟組織肉瘤、骨肉瘤、惡性纖維組織細胞瘤、淋巴肉瘤及橫紋肌肉瘤。 Sarcomas include, but are not limited to, soft tissue sarcoma, osteosarcoma, malignant fibrous histiocytoma, lymphosarcoma, and rhabdomyosarcoma.

白血病包括(但不限於)急性骨髓性白血病、急性淋巴母細胞性白血病、慢性淋巴細胞白血病、慢性髓性白血病及多毛細胞白血病。 Leukemias include, but are not limited to, acute myeloid leukemia, acute lymphoblastic leukemia, chronic lymphocytic leukemia, chronic myelogenous leukemia, and hairy cell leukemia.

該等病症已在人類中經充分表徵,而且亦以類似病因存在於其他哺乳動物中,且其可藉由投與本發明醫藥組合物來治療。 Such conditions have been well characterized in humans and are also present in other mammals with similar causes and can be treated by administration of the pharmaceutical compositions of the invention.

如本文件通篇所陳述之術語「治療(treating或treatment)」係以習用方式使用,例如,出於對抗、緩和、減弱、減輕、改良疾病或病症(例如,癌)之病況之目的管控或照護個體。 The term "treating or treatment" as used throughout this document is used in a customary manner, for example, for the purpose of combating, alleviating, attenuating, alleviating, ameliorating the condition of a disease or condition (eg, cancer) or Care for the individual.

較佳地,藉由該等化合物治療之病理學狀態係得益於投與PI3K抑制劑之人類之過度增殖及/或血管生成病症。 Preferably, the pathological condition treated by the compounds benefits from hyperproliferative and/or angiogenic disorders in a human administered a PI3K inhibitor.

根據實施例,過度增殖及/或血管生成病症係失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病,更具體而言由磷脂醯肌醇-3-激酶(PI3K)路徑介導之病症,甚至更具體而言係血液腫瘤、實體腫瘤及/或其轉移,例如白血病及脊髓發育不良症候群、惡性淋巴瘤、頭頸部腫瘤(包括腦瘤及腦轉移)、胸部腫瘤(包括非小細胞及小細胞肺腫瘤)、胃腸道腫瘤、內分泌腫瘤、乳房及其他婦科腫瘤、泌尿系統腫瘤(包括腎腫瘤、膀胱腫瘤及前列腺腫瘤)、皮膚腫瘤、及肉瘤及/或其轉移。 According to an embodiment, the hyperproliferative and/or angiogenic disorder is a disease of uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cellular inflammatory response, more specifically phospholipid inositol-3- A kinase (PI3K) pathway-mediated disorder, even more specifically a hematological tumor, a solid tumor, and/or its metastasis, such as leukemia and myelodysplastic syndromes, malignant lymphoma, head and neck tumors (including brain tumors and brain metastases) , chest tumors (including non-small cell and small cell lung tumors), gastrointestinal tumors, endocrine tumors, breast and other gynecological tumors, urological tumors (including kidney tumors, bladder tumors and prostate tumors), skin tumors, and sarcomas and / Or its transfer.

式(I)化合物用於治療胃癌之適宜方法及用途闡述於優先權申請案EP15159490.0、EP14196142.5及EP15164342.6中,該等案件係以引用方式併入本文中。 Suitable methods and uses for the use of the compounds of the formula (I) for the treatment of gastric cancer are described in the priority applications EP 15159490.0, EP 14196142.5 and EP 15164342.6, each of which is incorporated herein by reference.

根據實施例,過度增殖及/或血管生成病症係胃癌。 According to an embodiment, the hyperproliferative and/or angiogenic disorder is gastric cancer.

式(I)化合物用於治療乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌及/或其轉移之適宜方法及用途闡述於PCT/EP2014/076051(WO2015082378)及優先權申請案EP14163752.0及EP13195567.6中,該所有三個案件皆係以引用方式併入本文中。 Suitable compounds for the treatment of breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically non-small cell lung cancer), colorectal cancer, melanoma, pancreatic cancer and/or metastasis thereof The method and use are described in PCT/EP2014/076051 (WO2015082378) and priority application EP 14163752.0 and EP 13195567.6, all of which are incorporated herein by reference.

根據實施例,過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌及/或其轉移。 According to an embodiment, the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically non-small cell lung cancer), colorectal cancer, melanoma, pancreatic cancer and/or Or its transfer.

式(I)化合物用於治療乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌伴隨骨轉移之適宜方法及用途闡述於PCT/EP2014/076051(WO2015082378)及優先權申請案EP14163752.0及EP13195567.6中,該所有三個案件皆係以引用方式併入本文中。 A suitable method for treating breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically, non-small cell lung cancer), colorectal cancer, melanoma, pancreatic cancer with bone metastasis, and the compound of formula (I) The use is described in PCT/EP2014/076051 (WO2015082378) and priority application EP 14163752.0 and EP 13195567.6, all of which are incorporated herein by reference.

根據實施例,過度增殖及/或血管生成病症係乳癌、前列腺癌、 多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌伴隨骨轉移。 According to an embodiment, the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, Multiple myeloma, hepatocellular carcinoma, lung cancer (specifically, non-small cell lung cancer), colorectal cancer, melanoma, pancreatic cancer are associated with bone metastasis.

根據實施例,過度增殖及/或血管生成病症係具有PTEN喪失或PIK3CA突變及KRAS野生型之癌症。 According to an embodiment, the hyperproliferative and/or angiogenic disorder has a PTEN loss or a PIK3CA mutation and a KRAS wild type cancer.

根據實施例,過度增殖及/或血管生成病症係具有PTEN喪失或PIK3CA突變及KRAS野生型之局部晚期或轉移性子宮內膜或乳癌或緩慢進展非何傑金氏淋巴瘤(iNHL)。 According to an embodiment, the hyperproliferative and/or angiogenic disorder has a PTEN loss or PIK3CA mutation and a locally advanced or metastatic endometrial or breast cancer of the KRAS wild type or a slowly progressing non-Hodgkin's lymphoma (iNHL).

在其他實施例中,PI3K抑制劑係選自由以下各項組成之PI3K抑制劑之群:布帕裡斯(buparlisib)、艾代拉裡斯(idelalisib)、BYL-719、達妥裡斯(dactolisib)、PF-05212384、匹替裡斯(pictilisib)、ZSTK-474、GSK-2636771、杜維裡斯(duvelisib)、GS-9820、PF-04691502、SAR-245408、SAR-245409、索諾裡斯(sonolisib)、阿可新(Archexin)、GDC-0032、GDC-0980、阿妥裡斯(apitolisib)、匹拉裡斯(pilaralisib)、DLBS 1425、PX-866、沃他裡斯(voxtalisib)、AZD-8186、BGT-226、DS-7423、GDC-0084、GSK-2126458、INK-1117、SAR-260301、SF-1126、AMG-319、BAY-1082439、CH-5132799、GSK-2269557、P-7170、PWT-33597、CAL-263、RG-7603、LY-3023414、RP-5264、RV-1729、他司裡斯(taselisib)、TGR-1202、GSK-418、INCB-040093、帕努裡斯(Panulisib)、GSK-1059615、CNX-1351、AMG-511、PQR-309、17β-羥基渥曼青黴素、AEZS-129、AEZS-136、HM-5016699、IPI-443、ONC-201、PF-4989216、RP-6503、SF-2626、X-339、XL-499、PQR-401、AEZS-132、CZC-24832、KAR-4141、PQR-311、PQR-316、RP-5090、VS-5584、X-480、AEZS-126、AS-604850、BAG-956、CAL-130、CZC-24758、ETP-46321、ETP-47187、GNE-317、GS-548202、HM-032、KAR-1139、LY-294002、PF-04979064、PI-620、PKI-402、PWT-143、RP- 6530、3-HOI-BA-01、AEZS-134、AS-041164、AS-252424、AS-605240、AS-605858、AS-606839、BCCA-621C、CAY-10505、CH-5033855、CH-5108134、CUDC-908、CZC-19945、D-106669、D-87503、DPT-NX7、ETP-46444、ETP-46992、GE-21、GNE-123、GNE-151、GNE-293、GNE-380、GNE-390、GNE-477、GNE-490、GNE-493、GNE-614、HMPL-518、HS-104、HS-106、HS-116、HS-173、HS-196、IC-486068、INK-055、KAR 1141、KY-12420、渥曼青黴素、Lin-05、NPT-520-34、PF-04691503、PF-06465603、PGNX-01、PGNX-02、PI 620、PI-103、PI-509、PI-516、PI-540、PIK-75、PWT-458、RO-2492、RP-5152、RP-5237、SB-2015、SB-2312、SB-2343、SHBM-1009、SN 32976、SR-13179、SRX-2523、SRX-2558、SRX-2626、SRX-3636、SRX-5000、TGR-5237、TGX-221、UCB-5857、WAY-266175、WAY-266176、EI-201、AEZS-131、AQX-MN100、KCC-TGX、OXY-111A、PI-708、PX-2000、WJD-008。 In other embodiments, the PI3K inhibitor is selected from the group consisting of a PI3K inhibitor consisting of: buparlisib, idelalisib, BYL-719, dactolisib, PF -05212384, pictilisib, ZSTK-474, GSK-2636771, duvelisib, GS-9820, PF-04691502, SAR-245408, SAR-245409, Sonolisib, Aco New (Archexin), GDC-0032, GDC-0980, apitolisib, pilaralisib, DLBS 1425, PX-866, voxtalisib, AZD-8186, BGT-226, DS -7423, GDC-0084, GSK-2126458, INK-1117, SAR-260301, SF-1126, AMG-319, BAY-1082439, CH-5132799, GSK-2269557, P-7170, PWT-33597, CAL-263 , RG-7603, LY-3023414, RP-5264, RV-1729, taselisib, TGR-1202, GSK-418, INCB-040093, Panulisib, GSK-1059615, CNX-1351 , AMG-511, PQR-309, 17β-hydroxy wortmannin, AEZS-129, AEZS-136, HM-5016699, IPI-443, ONC-201, PF-4989216, RP-6503, SF-2626, X- 339, XL-499, PQR-401, AEZS-132 , CZC-24832, KAR-4141, PQR-311, PQR-316, RP-5090, VS-5584, X-480, AEZS-126, AS-604850, BAG-956, CAL-130, CZC-24758, ETP -46321, ETP-47187, GNE-317, GS-548202, HM-032, KAR-1139, LY-294002, PF-04979064, PI-620, PKI-402, PWT-143, RP- 6530, 3-HOI-BA-01, AEZS-134, AS-041164, AS-252424, AS-605240, AS-605858, AS-606839, BCCA-621C, CAY-10505, CH-5033855, CH-5108134, CUDC-908, CZC-19945, D-106669, D-87503, DPT-NX7, ETP-46444, ETP-46992, GE-21, GNE-123, GNE-151, GNE-293, GNE-380, GNE- 390, GNE-477, GNE-490, GNE-493, GNE-614, HMPL-518, HS-104, HS-106, HS-116, HS-173, HS-196, IC-486068, INK-055, KAR 1141, KY-12420, wortmannin, Lin-05, NPT-520-34, PF-04691503, PF-06465603, PGNX-01, PGNX-02, PI 620, PI-103, PI-509, PI- 516, PI-540, PIK-75, PWT-458, RO-2492, RP-5152, RP-5237, SB-2015, SB-2312, SB-2343, SHBM-1009, SN 32976, SR-13179, SRX -2523, SRX-2558, SRX-2626, SRX-3636, SRX-5000, TGR-5237, TGX-221, UCB-5857, WAY-266175, WAY-266176, EI-201, AEZS-131, AQX-MN100 , KCC-TGX, OXY-111A, PI-708, PX-2000, WJD-008.

治療激酶病症之方法Method of treating a kinase disorder

本發明亦提供治療與異常絲裂原細胞外激酶活性有關之病症的方法,該等病症包括(但不限於)中風、心臟衰竭、肝腫大、心臟擴大、糖尿病、阿茲海默氏病(Alzheimer's disease)、囊性纖維化、異種移植物排斥之症狀、敗血性休克或氣喘。 The invention also provides methods of treating disorders associated with abnormal mitogen extracellular kinase activity, including but not limited to stroke, heart failure, hepatomegaly, cardiac enlargement, diabetes, Alzheimer's disease ( Alzheimer's disease), cystic fibrosis, symptoms of xenograft rejection, septic shock or asthma.

可使用有效量之本發明化合物來治療該等病症,包括上文背景部分中所提及之彼等疾病(例如,癌症)。而且,不論作用機制及/或激酶與病症間之關係如何,均可使用本發明化合物來治療該等癌症及其他疾病。 An effective amount of a compound of the invention can be used to treat such conditions, including those diseases (e.g., cancer) as mentioned in the Background section above. Moreover, the compounds of the invention can be used to treat such cancers and other diseases, regardless of the mechanism of action and/or the relationship between the kinase and the condition.

片語「異常激酶活性」或「異常酪胺酸激酶活性」包括編碼激酶之基因或其所編碼之多肽的任何異常表現或活性。此異常活性之實例包括(但不限於)基因或多肽之過表現;基因擴增;產生組成型活性 或過度活性激酶活性之突變;基因突變、缺失、取代、添加等。 The phrase "abnormal kinase activity" or "abnormal tyrosine kinase activity" includes any abnormal expression or activity of a gene encoding a kinase or a polypeptide encoded thereby. Examples of such abnormal activities include, but are not limited to, overexpression of a gene or polypeptide; gene amplification; production of constitutive activity Or mutations in overactive kinase activity; gene mutations, deletions, substitutions, additions, and the like.

本發明亦提供抑制激酶活性、尤其絲裂原細胞外激酶之方法,其包含投與有效量之本發明化合物,包括其鹽、多晶形、代謝物、水合物、溶劑合物、前藥(例如:酯)及其非對映異構形式。可在細胞中(例如,活體外)或在需要治療之哺乳動物個體、尤其人類患者之細胞中抑制激酶活性。 The invention also provides a method of inhibiting kinase activity, particularly mitogen extracellular kinase, comprising administering an effective amount of a compound of the invention, including salts, polymorphs, metabolites, hydrates, solvates, prodrugs thereof (eg, : ester) and its diastereomeric forms. Kinase activity can be inhibited in cells (e.g., in vitro) or in cells of a mammalian subject, particularly a human patient, in need of treatment.

治療血管生成病症之方法Method of treating angiogenic disorders

本發明亦提供治療與過度及/或異常血管生成相關之病症及疾病的方法。 The invention also provides methods of treating disorders and diseases associated with excessive and/or abnormal angiogenesis.

血管生成之不適當及異位表現可能對有機體有害。多種病理病況與新異血管生長有關。該等病況包括(例如)糖尿病性視網膜病變、缺血型視網膜靜脈阻塞及早產兒視網膜病變[Aiello等人,New Engl.J.Med.1994,331,1480,Peer等人,Lab.Invest.1995,72,638]、年齡相關性黃斑變性[AMD;參見Lopez等人,Invest.Opththalmol.Vis.Sci.1996,37,855]、新生血管性青光眼、牛皮癬、晶狀體後纖維組織增生、血管纖維瘤、發炎、類風濕性關節炎(RA)、再狹窄、支架內再狹窄、血管移植後再狹窄等。另外,與癌性及腫瘤組織相關之血液供給增加會刺激生長,從而導致腫瘤快速擴大及轉移。此外,腫瘤中生長新血管及淋巴管為背棄細胞(renegade cell)提供逃逸途徑,從而刺激轉移並導致癌症擴散。因此,可利用本發明化合物藉由(例如)以下方式來治療及/或預防上述血管生成病況中之任一者:抑制及/或減少血管形成;抑制、阻斷、減少、降低等內皮細胞增殖或參與血管生成之其他類型細胞、以及引起該等細胞類型之細胞死亡或細胞凋亡。 Inappropriate angiogenesis and ectopic performance may be harmful to organisms. A variety of pathological conditions are associated with neovascular growth. Such conditions include, for example, diabetic retinopathy, ischemic retinal vein occlusion, and retinopathy of prematurity [Aiello et al, New Engl. J. Med. 1994 , 331, 1480, Peer et al, Lab. Invest. 1995 , 72,638], age-related macular degeneration [AMD; see Lopez et al, Invest. Opththalmol. Vis. Sci. 1996 , 37, 855], neovascular glaucoma, psoriasis, posterior fibrous tissue hyperplasia, angiofibroma, inflammation, rheumatoid Arthritis (RA), restenosis, in-stent restenosis, restenosis after vascular grafting, etc. In addition, increased blood supply associated with cancerous and tumor tissue stimulates growth, leading to rapid tumor expansion and metastasis. In addition, the growth of new blood vessels and lymphatic vessels in tumors provides an escape pathway for renegade cells, thereby stimulating metastasis and leading to cancer spread. Thus, the compounds of the present invention can be used to treat and/or prevent any of the aforementioned angiogenic conditions, for example, by inhibiting and/or reducing angiogenesis; inhibiting, blocking, reducing, reducing, etc. endothelial cell proliferation. Or other types of cells involved in angiogenesis, as well as cell death or apoptosis that causes these cell types.

如本文所闡述及定義之式(I)化合物可根據WO2012/062748中所含有之製備方法來製備,該案係以全文引用方式併入本文中。 Compounds of formula (I) as set forth and defined herein can be prepared according to the methods of preparation contained in WO 2012/062748, which is incorporated herein by reference in its entirety.

先前技術以及上文列表中所提及之PI3K-抑制劑已經揭示用於治 療或預防不同疾病,尤其癌症。 The prior art and the PI3K-inhibitors mentioned in the above list have been disclosed for treatment Treat or prevent different diseases, especially cancer.

如本文所使用,術語治療(treatment)及諸如「治療(treat或treating)」等變化形式係指可有益於人類或非人類動物之任一方案。另外,可使用式(I)化合物進行預防(預防性治療)。治療可包括治癒效應、緩和效應或減弱效應,該等效應與過度增殖及/或血管生成病症相關之症狀中之一或多者相關。 As used herein, the terms treatment and variations such as "treat or treating" refer to any regimen that can be beneficial to a human or non-human animal. In addition, prophylaxis (prophylactic treatment) can be carried out using a compound of formula (I). Treatment may include a healing effect, a palliative effect, or an attenuating effect, which effects are associated with one or more of the symptoms associated with hyperproliferative and/or angiogenic conditions.

可提及之本發明之一個具體實施例係式(I)化合物,具體而言N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺(化合物A1:WO2013/062748之實例14)或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽,具體而言生理學上可接受之鹽或混合物,其用於預防或治療過度增殖及/或血管生成病症,其中在每一投與循環中將式(I)化合物投與1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 A particular embodiment of the invention may be mentioned as a compound of formula (I), in particular N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy -7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide (Compound A1: WO2013/062748 Example 14) or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular a physiologically acceptable salt or mixture, for use in preventing or treating excessive a proliferative and/or angiogenic disorder wherein the compound of formula (I) is administered for a period of from 1 to 5 days in each administration cycle, followed by administration of the compound of formula (I) or administration over a period of 3 to 6 days With placebo.

可提及之本發明之一個具體實施例係式(I)化合物,具體而言N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺(化合物A1:WO2012/062748之實例14)或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或混合物,其用於預防或治療過度增殖及/或血管生成病症,其中將式(I)化合物投與1至5天之時段,隨後在3至6天之時段中不投與式(I)化合物或投與安慰劑。 A particular embodiment of the invention may be mentioned as a compound of formula (I), in particular N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy -7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide (Compound A1: WO2012/062748 Example 14) or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular a physiologically acceptable salt or mixture, for use in preventing or treating excessive A proliferative and/or angiogenic disorder wherein the compound of formula (I) is administered for a period of from 1 to 5 days, followed by administration of the compound of formula (I) or administration of a placebo over a period of 3 to 6 days.

製備通式(I)之化合物之細節可參見WO2012/062748A1。 Details of the preparation of the compounds of the general formula (I) can be found in WO 2012/062748 A1.

通式(I)之化合物亦可以其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽形式、具體而言生理學上可接受之鹽或其混合物存在。業內已知適宜的生理學上可接受之相對離子。 The compounds of the formula (I) may also be present in the form of their stereoisomers, tautomers, N-oxides, hydrates, solvates or salts, in particular physiologically acceptable salts or mixtures thereof. Suitable physiologically acceptable relative ions are known in the art.

亦可使用通式(I)之化合物之前藥以便改變活性化合物之治療譜。 Prodrugs of the compounds of formula (I) may also be employed in order to alter the therapeutic profile of the active compounds.

作為醫藥組合物投與式(I)化合物。為製備通式I之化合物之醫藥組合物,將緩慢進展醫藥上可接受之載劑與活性化合物混合。醫藥上可接受之載劑可為固體或液體。固體形式製劑包括粉末、錠劑、可分散顆粒及膠囊。固體載劑可為一或多種亦可用作稀釋劑、矯味劑、增溶劑、潤滑劑、懸浮劑、黏合劑、助滑劑或崩解劑之物質;其亦可為封裝材料。 The compound of formula (I) is administered as a pharmaceutical composition. To prepare a pharmaceutical composition of a compound of formula I, a slowly progressing pharmaceutically acceptable carrier is mixed with the active compound. Pharmaceutically acceptable carriers can be either solid or liquid. Solid form preparations include powders, lozenges, dispersible granules and capsules. The solid carrier can be one or more substances which may also act as a diluent, flavor, solubilizer, lubricant, suspending agent, binder, slip aid or disintegrating agent; it may also be a packaging material.

較佳地,呈單位劑型之醫藥組合物為包裝製劑,該包裝含有分散量之製劑,例如存於小瓶或安瓿中之經包裝之錠劑、膠囊及粉末。較佳地,醫藥組合物係錠劑。 Preferably, the pharmaceutical composition in unit dosage form is a packaged preparation, the package containing a discrete amount of preparation, such as a packaged lozenge, capsule and powder in a vial or ampule. Preferably, the pharmaceutical composition is a tablet.

一般而言,較佳地作為口服錠劑或膠囊、更佳地作為口服錠劑經口投與式(I)化合物。 In general, the compound of the formula (I) is preferably administered orally as an oral lozenge or capsule, more preferably as an oral lozenge.

本發明之其他態樣係如申請專利範圍中所定義。 Other aspects of the invention are as defined in the scope of the patent application.

測試本文所述實驗之實例用於闡釋本發明且本發明並非限於所給出之實例。 Examples of experiments described herein were tested to illustrate the invention and the invention is not limited to the examples given.

實例Instance

本文未指定之其他縮寫具有熟習此項技術者習知之含義。 Other abbreviations not specified herein have the meanings familiar to those skilled in the art.

如本申請案所引用之業內所述方案及程序揭示在其實驗部分內之一般合成途徑及特定程序以達成本發明之PI3K抑制劑化合物。可根據WO2012/062748之實例14製備化合物A1,該案係以全文引用方式併入本文中。 The protocols and procedures described in the art as cited in the present application disclose the general synthetic routes and specific procedures within the experimental portion thereof to achieve the PI3K inhibitor compounds of the present invention. Compound A1 can be prepared according to Example 14 of WO 2012/062748, which is incorporated herein by reference in its entirety.

(N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺) (N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide

化合物A1(Cpd.A1) Compound A1 (Cpd.A1)

實例1:經由流化床製粒製造之含有通式(I)之化合物及視情況後續薄膜包衣之立即釋放型錠劑 Example 1: Instant release tablet containing a compound of formula (I) and optionally a film coating, as produced by fluidized bed granulation

1.1含有化合物(A1)之錠劑之組成1.1 Composition of a tablet containing the compound (A1)

a重量及尺寸可變化約±10%。 a weight and size can vary by about ± 10%.

b黃色塗漆含有: b yellow paint contains:

50.56%羥丙甲纖維素 50.56% hypromellose

6.00%氧化鐵黃 6.00% iron oxide yellow

10.12%聚乙二醇3350 10.12% polyethylene glycol 3350

10.12%滑石粉 10.12% talcum powder

23.20%二氧化鈦 23.20% titanium dioxide

1.2製程1.2 Process 1.2.1 錠劑1-A至1-E 1.2.1 Lozenges 1-A to 1-E

化合物A1包覆之錠劑Compound A1 coated lozenge

濕法製粒製程:用預篩分之經微粉化化合物(A1)、甘露醇及微晶纖維素裝填流化床製粒機。藉由將含有羥丙甲纖維素5cP及月桂基硫酸鈉之製粒液體添加於散裝純化水中來實施濕法製粒製程。乾燥顆粒並進行篩分。 Wet granulation process: a fluidized bed granulator is charged with a pre-screened micronized compound (A1), mannitol and microcrystalline cellulose. The wet granulation process was carried out by adding a granulating liquid containing hypromellose 5cP and sodium lauryl sulfate to bulk purified water. The granules are dried and sieved.

最終摻合物:在摻和機中將顆粒與交聯羧甲基纖維素鈉及經篩 分硬脂酸鎂混合。 Final Blend: The granules are mixed with croscarmellose sodium and sieved magnesium stearate in a blender.

製錠:將最終摻合物壓縮成錠劑。測試未經包覆錠劑之質量均一性、厚度、錠劑耐壓碎性、脆性及崩解。 Ingot: The final blend is compressed into a tablet. The mass uniformity, thickness, tablet crush resistance, brittleness and disintegration of the uncoated tablet were tested.

包覆:可將一批錠劑核心分為若干子批次以供可選包覆。將黃色塗漆懸浮於散裝純化水中以產生均質包覆懸浮液,將該懸浮液噴霧於錠劑上。測試經包覆錠劑之質量均一性、厚度及崩解。視情況,可選出具有包衣缺陷之錠劑。 Coating: A batch of tablet cores can be divided into several sub-batch for optional coating. The yellow paint was suspended in bulk purified water to produce a homogeneous coated suspension which was sprayed onto the tablet. The mass uniformity, thickness and disintegration of the coated lozenge were tested. Lozenges with coating defects may be selected, as appropriate.

可藉由調節賦形劑之量降低或增加活性成份之量,如可藉由熟習此項技術者易於確定。 The amount of active ingredient can be reduced or increased by adjusting the amount of excipient, as can be readily determined by those skilled in the art.

可使用等效設備及處理(即相同操作原理)按比例擴大或按比例縮小製造錠劑之批料大小,如可藉由熟習此項技術者易於確定。 The batch size of the lozenge can be scaled up or scaled down using equivalent equipment and processing (i.e., the same principles of operation) as readily determined by those skilled in the art.

實例2:利用具有腫瘤異種移植物之NMRI nu/nu小鼠之活體內PK/PD實驗。選擇亞洲胃腫瘤模型GXA 3027作為腫瘤模型。 Example 2: In vivo PK/PD experiments using NMRI nu/nu mice with tumor xenografts. The Asian gastric tumor model GXA 3027 was selected as a tumor model.

使用患者源性腫瘤異種移植物執行研究。自在裸小鼠中連續傳代之異種移植物獲得腫瘤片段。在自供體小鼠去除後,將腫瘤切成片段(4-5mm直徑)並置於PBS中直至皮下植入。異氟烷麻醉下之小鼠在側腹中接受單向皮下腫瘤植入物。每日監測動物及腫瘤植入物直至最大數量之植入物顯示開始實體腫瘤生長之明顯跡象。在隨機分配時,初始測定生長腫瘤之體積。根據研究方案將具有至少一個300mm3至600mm3體積之腫瘤之動物分佈於實驗組中。將隨機分配之日期稱為 實驗之第0天。在三個不同投藥時間表下評價化合物A1。對照組包括在內。在施用化合物A1後在所選時間點收集血液、腫瘤及組織試樣。在每一時間點,處死三隻小鼠/治療組。 The study was performed using patient-derived tumor xenografts. Tumor fragments were obtained from serially passaged xenografts in nude mice. After removal from the donor mice, the tumors were cut into fragments (4-5 mm diameter) and placed in PBS until subcutaneous implantation. Mice under isoflurane anesthesia received a one-way subcutaneous tumor implant in the flank. Animals and tumor implants were monitored daily until the maximum number of implants showed clear signs of starting solid tumor growth. At random assignment, the volume of the growing tumor is initially determined. Animals having at least one tumor of 300 mm 3 to 600 mm 3 volume were distributed in the experimental group according to the research protocol. The date of random assignment is referred to as day 0 of the experiment. Compound A1 was evaluated under three different dosing schedules. The control group was included. Blood, tumor, and tissue samples were collected at selected time points after administration of Compound A1. At each time point, three mice/treatment groups were sacrificed.

A)血漿藥物暴露 A) Plasma drug exposure

為測定小鼠中化合物A1之暴露,在第1次投與化合物A1後的2h、8h、24h、48h、96h及168h收集血液。在用乙腈進行蛋白質沈澱後藉由HPLC串聯質譜測定血漿、腫瘤及組織溶解產物中化合物A1之濃度。該分析具有2μg/L之定量下限(LLOQ)。利用75mg/kg、QD(每天一次)投藥時間表之動物之血漿中化合物A1之含量在2h時較高(平均1363μg/L),在8h時顯著降低(平均384μg/L),且在24h時返回至基線(平均44μg/L)。化合物A1之暴露顯示在450mg/kg、QW(每週一次)及200mg/kg、給藥2天/停藥5天群組中之動物之血漿中劑量成比例的增加。在450mg/kg、QW群組及200mg/kg、給藥2天/停藥5天的群組中,在96h時均出現化合物A1之清除。Cmax在75mg/kg至450mg/kg之間亦顯示劑量線性。 To determine the exposure of Compound A1 in mice, blood was collected at 2 h, 8 h, 24 h, 48 h, 96 h, and 168 h after the first administration of Compound A1. The concentration of Compound A1 in plasma, tumor and tissue lysates was determined by HPLC tandem mass spectrometry after protein precipitation with acetonitrile. This analysis has a lower limit of quantitation (LLOQ) of 2 μg/L. The content of Compound A1 in the plasma of animals using the 75 mg/kg, QD (once per day) dosing schedule was higher at 2 h (mean 1363 μg/L), significantly lower at 8 h (mean 384 μg/L), and at 24 h Return to baseline (average 44 μg/L). Exposure to Compound A1 showed a proportional increase in the plasma dose of the animals in the group of 450 mg/kg, QW (once a week), and 200 mg/kg, 2 days of administration/5 days of withdrawal. In the group of 450 mg/kg, QW group and 200 mg/kg, 2 days of administration/5 days of withdrawal, the clearance of Compound A1 occurred at 96 h. Dose is also shown to be linear between Cmax and 75 mg/kg to 450 mg/kg.

實例3 活體內作用機制及路徑抑制特性。Example 3 In vivo mechanism of action and path inhibition characteristics.

利用基於ELISA之分析來分析藉由腫瘤組織之提取物中p-AKT(S473)及下游信號傳導分子p-PRAS40之含量量測之路徑活化。該等分析係基於MULTI-SPOT® Assay System(Fa.Meso Scale Discovery,目錄號N41100B-1(針對p-AKT)及K150JZD-1(針對p-PRAS40))且係遵循製造說明書來執行。 Path-based assays for the measurement of p-AKT (S473) and downstream signaling molecule p-PRAS40 in tumor tissue extracts were analyzed using ELISA-based assays. These analyses were performed based on the MULTI-SPOT® Assay System (Fa. Meso Scale Discovery, Cat. No. N41100B-1 (for p-AKT) and K150JZD-1 (for p-PRAS40)) and following the manufacturer's instructions.

簡言之,使用Tissue Lyzer(Qiagen,Germany)在蛋白酶及磷酸酶抑制劑存在下將約5×5×5mm之腫瘤試樣在MSD溶解緩衝液中在冰上溶解。每一分析均使用20μg蛋白質提取物。所有量測皆至少以一式兩份執行。將經化合物A1處理之腫瘤中p-AKT及p-PRAS40之含量與媒劑組之腫瘤進行比較。 Briefly, tumor samples of approximately 5 x 5 x 5 mm were dissolved in MSD lysis buffer on ice using Tissue Lyzer (Qiagen, Germany) in the presence of protease and phosphatase inhibitors. 20 μg of protein extract was used for each analysis. All measurements are performed in at least two copies. The content of p-AKT and p-PRAS40 in the tumor treated with Compound A1 was compared with that of the vehicle group.

-在75mg/kg、QD時間表下之PI3K抑制劑化合物A1之治療在治療後的2小時及8小時分別引起p-AKT之>90%及>80%抑制。在24h,僅觀察到p-AKT之約25%抑制。 - Treatment of PI3K inhibitor Compound A1 at 75 mg/kg, QD schedule caused >90% and >80% inhibition of p-AKT at 2 and 8 hours after treatment, respectively. At 24 h, only about 25% inhibition of p-AKT was observed.

- 在來自450mg/kg、QW群組之腫瘤中,與在低劑量75mg/kg、QD群組中觀察到之2h相比,p-AKT之有效抑制(>90%)之持續時間遠長於>24h。 - In tumors from the 450 mg/kg, QW cohort, the effective inhibition (>90%) of p-AKT lasted much longer than >2h observed in the low dose 75 mg/kg, QD cohort. 24h.

-200mg/kg下之化合物A1連續兩天之治療,在2h及8h時觀察到 p-AKT之>90%抑制,且在48h亦觀察到>80% p-AKT抑制。應注意,在第1次投與後的24h及在第2個劑量之前,p-AKT之含量為對照之僅約30%(與75mg/kg、QD群組中之對照之75%相比)。維持大於50%之p-AKT抑制直至96h為止。 Compound A1 at -200 mg/kg for two consecutive days, observed at 2h and 8h >90% inhibition of p-AKT and >80% p-AKT inhibition was also observed at 48h. It should be noted that the p-AKT content was only about 30% of the control at 24 h after the first administration and before the second dose (compared to 75 mg/kg, 75% of the control in the QD cohort) . More than 50% p-AKT inhibition was maintained until 96 h.

- 因此,化合物A1之連續投藥在每一天具有有效抑制p-AKT(約2h)之短時段,而每週一次的投藥對p-AKT之初始有效抑制有所延長(>24h)且<50%抑制達連續3天(96-168h)。前2天200mg/kg下化合物A1之治療且自第3天至第7天給予藥物停藥日(即不投與化合物A1)在利用75mg/kg、QD及450mg/kg、QW所獲得者之間顯示抑制特性。 - Therefore, continuous administration of Compound A1 has a short period of time effective to inhibit p-AKT (about 2 h), and weekly administration of the initial effective inhibition of p-AKT is prolonged (>24 h) and <50% Inhibition for up to 3 days (96-168h). Treatment of Compound A1 at 200 mg/kg for the first 2 days and administration of drug withdrawal day from day 3 to day 7 (ie, no administration of Compound A1) was obtained using 75 mg/kg, QD, and 450 mg/kg, QW. The suppression characteristics are displayed.

藉由化合物A1利用不同投藥方案之p-PRAS40抑制之總體特性與p-AKT抑制特性極其類似。因此,在75mg/kg、QD時間表下之PI3K抑制劑化合物A1之治療在2h時引起p-PRAS40之短暫有效抑制(80.6%),在8h抑制有所降低(58.9%),且在24h p-PRAS40恢復至媒劑對照之含量。相比之下,高劑量450mg/kg的間歇QW投藥生成p-PRAS40之初始延長之抑制(>24h對2h)及更有效最大抑制(92.4%對80.6%)且自96h直至168h(3天)自路徑抑制釋放細胞。應注意,利用間歇投藥時間表(QW在450mg/kg下及給藥2天/停藥5天在200mg/kg下)僅達到>90% p-PRAS40抑制,但QD在75mg/kg下未達到。 The overall properties of p-PRAS40 inhibition by Compound A1 using different administration protocols are very similar to the p-AKT inhibition properties. Therefore, treatment with the PI3K inhibitor Compound A1 at 75 mg/kg, QD schedule caused a transient effective inhibition of p-PRAS40 (80.6%) at 2 h, a decrease (58.9%) at 8 h, and at 24 h p - PRAS40 is restored to the level of the vehicle control. In contrast, intermittent QW administration with a high dose of 450 mg/kg produced an initial prolonged inhibition of p-PRAS40 (>24 h vs. 2 h) and a more effective maximal inhibition (92.4% vs. 80.6%) and from 96 h up to 168 h (3 days) The cells are released from the path inhibition. It should be noted that using a batch dosing schedule (QW at 450 mg/kg and 2 days of dosing/5 days at 200 mg/kg) only achieved >90% p-PRAS40 inhibition, but QD did not reach 75 mg/kg. .

p-PRAS40抑制之動力學與所觀察到的血清中化合物A1之含量充分相關(圖2)。血清中以75mg/kg投藥之化合物A1之濃度在投藥後在2小時時達到約1363μg/L(與約80% p-PRAS40抑制相關),且在5小時時降低至383μg/L(與約60% p-PRAS40抑制相關),且在24h時進一步降低至生物無關濃度44μg/L(表2)。有趣地,以450mg/kg投藥之化合物A1之濃度在2h時達到9179μg/L(與大於92%之p-PRAS40抑制相關),對於75mg/kg投藥組此係不可達成的。另外,在24h時1907μg/L之濃度(與約80% p-PRAS40抑制相關)與在75mg/kg投藥組中所觀察到之在 2h時之暴露及最大抑制相當。最後,在48h時血漿中化合物A1之濃度(與約60% p-PRAS40抑制相關)與在75mg/kg投藥組中所觀察到之在8h時之暴露及p-PRAS40抑制相當。因此,利用不同投藥方案投與化合物A1顯示清晰的PK/PD關係。 The kinetics of p-PRAS40 inhibition was sufficiently correlated with the observed level of Compound A1 in serum (Figure 2). The concentration of Compound A1 administered at 75 mg/kg in serum reached about 1363 μg/L at 2 hours after administration (related to about 80% inhibition of p-PRAS40) and decreased to 383 μg/L at 5 hours (with about 60). % p-PRAS40 inhibition was associated) and was further reduced to a biologically unrelated concentration of 44 μg/L at 24 h (Table 2). Interestingly, the concentration of Compound A1 administered at 450 mg/kg reached 9179 μg/L at 2 h (associated with greater than 92% inhibition of p-PRAS40), which was not achievable for the 75 mg/kg administration group. In addition, a concentration of 1907 μg/L at 24 h (related to about 80% p-PRAS40 inhibition) was observed in the 75 mg/kg administration group. The exposure at 2 h was equivalent to the maximum inhibition. Finally, the concentration of Compound A1 in plasma (associated with approximately 60% p-PRAS40 inhibition) at 48 h was comparable to exposure and p-PRAS40 inhibition observed at 8 h in the 75 mg/kg administration group. Therefore, administration of Compound A1 using different administration protocols showed a clear PK/PD relationship.

實例4不同投藥方案對活體內腫瘤細胞死亡之誘導Example 4 Induction of tumor cell death in vivo by different dosing regimens

連續(QD)及間歇(QW,給藥2天/停藥5天)的投藥方案產生有差別的路徑抑制型式,如實例3之表3、表4及圖1中所繪示。因此: The dosing regimen of continuous (QD) and intermittent (QW, 2 days of dosing / 5 days of dosing) produced a differential path inhibition pattern, as depicted in Table 3, Table 4 and Figure 1 of Example 3. therefore:

●以75mg/kg(MTD)連續QD投與化合物A1在每一天引起約8h的路徑抑制(p-PRAS40之50-80%抑制)及約16h的恢復時段(<50%路徑抑制)。 Administration of Compound A1 at 75 mg/kg (MTD) continuous QD caused about 8 h of pathway inhibition (50-80% inhibition of p-PRAS40) and a recovery period of about 16 h (<50% pathway inhibition) per day.

●間歇QW(450mg/kg,在MTD下)或給藥2天/停藥5天(200mg/kg,在MTD下)的投藥方案在2h時引起更強之最大路徑抑制(>90%),及對於QW 450mg/kg的投藥方案而言直至24h之對p-PRAS40之更長初始有效抑制(>80%)及對於給藥2天/停藥5天200mg/kg的投藥組而言在第1天及第2天直至8h之對p-PRAS40之更長初始有效抑制(>75%)。另一方面,兩個投藥方案自96h至168h(3天/週)自路徑抑制恢復。 • The intermittent QW (450 mg/kg, under MTD) or 2 days of dosing / 5 days of discontinuation (200 mg/kg, at MTD) resulted in a stronger maximum path inhibition (>90%) at 2 h, And for the QW 450mg/kg regimen, the longer initial effective inhibition of p-PRAS40 (>80%) up to 24h and the administration of 2mg/dose for 5 days 200mg/kg Longer initial effective inhibition (>75%) of p-PRAS40 on day 1 and day 2 up to 8 h. On the other hand, the two administration regimens recovered from path inhibition from 96 h to 168 h (3 days/week).

吾人評價在經上文所提及之投藥方案治療之GXA3027患者源性胃腫瘤模型中藉由化合物A1之腫瘤存活抑制。在第1次投與化合物A1後之2h、8h、24h、48h、96h及168h分析腫瘤中細胞凋亡蛋白質(即經活化半胱天冬酶3及經裂解PARP)之誘導(表5、表6及圖3)。在媒劑 處理之腫瘤中,經活化半胱天冬酶3及經裂解PARP之含量較低且其在該研究之時程期間保持恆定且其用作用於比較之基線。利用75mg/kg化合物A1之連續的每天一次的治療在治療時段期間未顯著誘導腫瘤細胞凋亡(半胱天冬酶3含量及經裂解PARP含量均僅輕微增加(1.6倍及1.7倍))。相比之下,利用450mg/kg的每週一次的治療及給藥2天/停藥5天在200mg/kg下可顯著誘導半胱天冬酶3(分別16.6倍及5.9倍)及經裂解PARP(分別6.6倍及3.6倍)。該等結果與所觀察到之化合物A1血清暴露、>90% p-PRAS40抑制相關,此表明腫瘤細胞死亡之誘導得益於高於某一臨限值之化合物A1暴露及路徑抑制(例如p-PRAS40抑制),此可藉由間歇投與化合物A1來達成。 We evaluated tumor survival inhibition by Compound A1 in a GXA3027 patient-derived gastric tumor model treated with the above-mentioned administration regimen. Induction of apoptosis protein (ie, activated caspase 3 and cleavage of PARP) in tumors was analyzed at 2h, 8h, 24h, 48h, 96h and 168h after the first administration of compound A1 (Table 5, Table) 6 and Figure 3). In the vehicle In the treated tumors, the levels of activated caspase 3 and lysed PARP were low and remained constant during the time course of the study and used as a baseline for comparison. Continuous daily treatment with 75 mg/kg of Compound A1 did not significantly induce tumor cell apoptosis during the treatment period (the caspase 3 content and the cleaved PARP content were only slightly increased (1.6-fold and 1.7-fold)). In contrast, caspase 3 (16.6-fold and 5.9-fold, respectively) and lysis were significantly induced at 200 mg/kg with weekly treatment at 450 mg/kg and administration for 2 days/dose for 5 days. PARP (6.6 times and 3.6 times, respectively). These results correlate with the observed serum exposure of Compound A1, >90% p-PRAS40 inhibition, indicating that induction of tumor cell death benefits from exposure of Compound A1 above a certain threshold and path inhibition (eg, p- PRAS40 inhibition), which can be achieved by intermittent administration of Compound A1.

實例5A:在小鼠中在GXA3027患者源性胃腫瘤模型中作為單一藥劑及與順鉑及卡培他濱之組合連續地或間歇地投藥之化合物A1之活體內功效。 Example 5A: In vivo efficacy of Compound A1 as a single agent and continuous or intermittent administration in combination with cisplatin and capecitabine in a GXA3027 patient-derived gastric tumor model in mice.

為比較利用連續及間歇投藥方案之化合物A1之單療法及組合功效,每天一次以60mg/kg、給藥2天/停藥5天以210mg/kg或每週一次以420mg/kgp.o.投與化合物A1,其中在NMRI nu/nu小鼠中在GXA3027患者源性胃腫瘤模型中具有420mg/kg之相同的每週累積劑量。抗腫瘤活性係作為相對於媒劑對照組及開始腫瘤體積之腫瘤生長抑制來測定且表示為中值相對腫瘤體積群組之比率(V治療-V初始)/(V對照-V初始)%;T/C[%])。藉由使用雙腳規測定腫瘤大小(腫瘤體積=(寬度)2×長度/2)來評價腫瘤反應。監測動物體重作為治療相關毒性之量度。每週量測腫瘤大小及體重2至3次。使用SigmaStat軟體評價統計學分析。實施單因子變異數分析,並藉由成對比較程序(唐恩氏法(Dunn’s method))比較與對照之差。若未另外提及,則利用研究結束 時之最後腫瘤面積計算相對T/C比率。另外,藉助臨床上使用之RECIST準則(完全反應、部分反應、穩定疾病及進展性疾病)評估治療反應(參考文獻:Eisenhauer EA、Therasse P、Bogaerts J等人,New response evaluation criteria in solid tumors:revised RECIST guideline(第1.1版).EJC 15 2009;45:228-247)且相應地計算反應率(RR=具有完全及部分反應之動物之數量)。 To compare the monotherapy and combination efficacy of Compound A1 using continuous and intermittent dosing regimens, once daily at 60 mg/kg, for 2 days/5 days for withdrawal at 210 mg/kg or once weekly at 420 mg/kg p.o. The same weekly cumulative dose of 420 mg/kg was found in Compound G1 in a GXA3027 patient-derived gastric tumor model in NMRI nu/nu mice. Antitumor activity was determined as tumor growth inhibition relative to the vehicle control group and onset of tumor volume and expressed as the ratio of median to tumor volume group (V treatment - V initial ) / (V control - V initial ) %; T/C [%]). Tumor response was assessed by measuring tumor size (tumor volume = (width) 2 x length/2) using a double foot gauge. Animal weight was monitored as a measure of treatment-related toxicity. Tumor size and body weight were measured 2 to 3 times per week. Statistical analysis was evaluated using SigmaStat software. Single factor variance analysis was performed and the difference from the control was compared by a pairwise comparison program (Dunn's method). If not mentioned otherwise, the relative T/C ratio was calculated using the last tumor area at the end of the study. In addition, the treatment response is assessed by clinically used RECIST criteria (complete response, partial response, stable disease, and progressive disease) (Reference: Eisenhauer EA, Therasse P, Bogaerts J, et al., New response evaluation criteria in solid tumors: revised RECIST guideline (version 1.1). EJC 15 2009; 45:228-247) and the reaction rate was calculated accordingly (RR = number of animals with complete and partial response).

根據來自實例3及實例4中之作用機制研究之結果,利用QD、QW或給藥2天/停藥5天時間表之化合物A1之治療證實分別具有-2.2%、-13.8%及-8.3%之相對T/C之強抗腫瘤功效。重要地,利用420mg/kg/週之QW投藥展示78% RR(7/9動物)之最強活性,給藥2天/停藥5天之時間表顯示56%(5/9動物)之RR,且連續QW投藥生成11%(1/9動物)之RR(圖5)。該等數據證實以下結論:與連續QD投藥時間表相比,間歇投藥時間表可引起相當或甚至更有效的化合物A1之抗腫瘤活性,具體而言達成更高的RR。與胃癌之第一線化學療法(例如卡培他濱及順鉑)組合,利用所有三個投藥時間表,化合物A1皆可在T/C及RR二者方面進一步增強其抗腫瘤活性。 According to the results of the study of the mechanism of action from Examples 3 and 4, treatment with Compound A1 using QD, QW, or a 2-day/dose 5-day schedule was confirmed to have -2.2%, -13.8%, and -8.3%, respectively. The relative anti-tumor effect of T/C. Importantly, the highest activity of 78% RR (7/9 animals) was demonstrated by QW administration at 420 mg/kg/week, and the schedule of 2 days/dose for 5 days showed an RR of 56% (5/9 animals). And continuous QW administration produced 11% (1/9 animals) of RR (Figure 5). These data confirm the conclusion that the intermittent dosing schedule can cause comparable or even more potent anti-tumor activity of Compound A1, in particular higher RR, compared to the continuous QD dosing schedule. In combination with first-line chemotherapy for gastric cancer (eg, capecitabine and cisplatin), Compound A1 further enhances its anti-tumor activity in both T/C and RR using all three dosing schedules.

實例5B:化合物A1與太平洋紫杉醇之組合之抗腫瘤活性Example 5B: Antitumor activity of a combination of Compound A1 and paclitaxel

在雌性nu/nu小鼠中實施評價不同投藥時間表中太平洋紫杉醇及化合物A1之組合活性之活體內功效實驗。實驗之結果概述於表8中。 In vivo efficacy experiments evaluating the combined activity of paclitaxel and compound A1 in different administration schedules were performed in female nu/nu mice. The results of the experiments are summarized in Table 8.

將在第0天、第7天、第14天及第21天i.v.給予之每週太平洋紫杉醇(24mg/kg/天)與75mg/kg/天p.o.下之化合物A1(在第1至6天、8至13天、15至20天、22至23天)之連續投藥或與化合物A1(在第1天、第8天、第15天及第22天(500/400mg/kg/天))之間歇投藥組合。 Weekly paclitaxel (24 mg/kg/day) and 75 mg/kg/day po will be administered iv on day 0, day 7, day 14, and day 21 (on days 1 to 6, Continuous administration of 8 to 13 days, 15 to 20 days, 22 to 23 days) or with Compound A1 (on Day 1, Day 8, Day 15, and Day 22 (500/400 mg/kg/day)) Intermittent administration combination.

在GXA 3023腫瘤模型中,化合物A1(75mg/kg,QD)之連續投藥展示良好抗腫瘤活性,其中最佳T/C值為31.9%。每週間歇給予500/400mg/kg化合物A1顯示極其良好功效,其中最佳T/C值為8.2%,且總體腫瘤停滯及3/8部分緩解。太平洋紫杉醇單療法中等良好,其中最佳T/C值為35.0%。太平洋紫杉醇與連續化合物A1(75/50mg/kg)之組合療法產生極其良好的抗腫瘤活性,其中最佳T/C值為15.6%。太平洋紫杉醇與每週化合物A1(500/400mg/kg)之組合具有高活性,其中最佳T/C值為9.1%,且總體腫瘤停滯以及3/8部分腫瘤緩解。因此,必須藉由腫瘤生長延遲評價太平洋紫杉醇加間歇每週化合物A1之組合效應。 In the GXA 3023 tumor model, continuous administration of Compound A1 (75 mg/kg, QD) showed good anti-tumor activity with an optimal T/C value of 31.9%. Weekly administration of 500/400 mg/kg of Compound A1 showed extremely good efficacy with an optimal T/C value of 8.2% and overall tumor stagnation and 3/8 partial remission. Pacific paclitaxel monotherapy was moderately good with an optimal T/C value of 35.0%. Combination therapy with paclitaxel and continuous compound A1 (75/50 mg/kg) produced extremely good antitumor activity with an optimal T/C value of 15.6%. The combination of paclitaxel and weekly compound A1 (500/400 mg/kg) has high activity with an optimal T/C value of 9.1%, and overall tumor arrest and 3/8 partial tumor remission. Therefore, the combined effect of paclitaxel plus intermittent weekly compound A1 must be evaluated by tumor growth delay.

在GXF 241腫瘤模型中,連續化合物A1投藥展示良好抗腫瘤功 效,其中最佳T/C值為17.9%且觀察到一例部分緩解。 In the GXF 241 tumor model, continuous compound A1 administration showed good anti-tumor function The best T/C value was 17.9% and a partial remission was observed.

化合物A1之間歇投藥亦產生更好活性,其中最佳T/C為13.6且在4/8小鼠中觀察到部分腫瘤緩解。太平洋紫杉醇單療法具有高活性,其中最佳T/C值為6.6%。7/8動物之腫瘤進入部分緩解。兩種太平洋紫杉醇/化合物A1組合療法產生極佳且統計顯著的抗腫瘤功效,其中在兩種情形下最佳T/C值均為4.2%。在兩個組合療法群組之8/8動物中觀察到部分腫瘤緩解。證明兩個組合療法群組之極其良好抗腫瘤活性係統計顯著的。 Intermittent administration of Compound A1 also produced better activity with an optimal T/C of 13.6 and partial tumor remission was observed in 4/8 mice. Pacific paclitaxel monotherapy has high activity with an optimal T/C value of 6.6%. Tumors of 7/8 animals entered partial remission. The combination of two paclitaxel/compound A1 treatments produced excellent and statistically significant anti-tumor efficacy with an optimal T/C value of 4.2% in both cases. Partial tumor remission was observed in 8/8 animals of the two combination therapy groups. A system demonstrating the extremely good anti-tumor activity of the two combination therapy groups is significant.

與單療法中所給各別化合物A1濃度相比,組合治療在兩種情形下之活性均更強且有益。 The combination treatment was more potent and beneficial in both cases than the concentration of the individual compound A1 given in the monotherapy.

實例6:在大鼠中在KPL4乳房腫瘤模型中連續或間歇投藥之化合物A1之活體內功效。 Example 6: In vivo efficacy of Compound A1 administered continuously or intermittently in a KPL4 breast tumor model in rats.

在裸大鼠中使用KPL-4乳癌異種移植物模型執行活體內功效研究,其中研究設計繪示於表9中。 In vivo efficacy studies were performed in nude rats using the KPL-4 breast cancer xenograft model, the study design is shown in Table 9.

所有化合物A1治療組皆在裸大鼠之KPL-4乳癌異種移植物中證實具有有效抗腫瘤功效。藉由最終腫瘤面積及腫瘤重量評價之T/C指示利用QW在105mg/kg下的投藥方案達成最好的抗腫瘤功效(T/C面積/重量=0.15/0.11,表10及圖4)。驚奇地,在75mg/kg QD下連續投藥的群組具有T/C面積/重量=0.29/0.32,此優於每週一次且優於給藥2天/停藥5天投 藥群組。亦驚奇地,兩個間歇投藥群組證實遠遠更好之疾病控制率(QW群組及給藥2天/停藥5天群組分別為80%及50%),而連續QD群組僅達到10%疾病控制率,如根據臨床上使用之RECIST準則所評價。 All Compound A1 treatment groups demonstrated effective anti-tumor efficacy in KPL-4 breast cancer xenografts in nude rats. The best anti-tumor efficacy (T/C area/weight = 0.15/0.11, Table 10 and Figure 4) was achieved using the TW of the final tumor area and tumor weight evaluation using the QW administration protocol at 105 mg/kg. Surprisingly, the group that was continuously administered at 75 mg/kg QD had a T/C area/weight =0.29/0.32, which was better than once a week and better than the 2 days of dosing/dose for 5 days. Surprisingly, the two intermittent dosing groups confirmed far better disease control rates (80% and 50% for the QW cohort and the 2 day/dose 5 day group, respectively), while the continuous QD group only A 10% disease control rate is achieved, as assessed by the clinically used RECIST guidelines.

重要地,在媒劑對照組之動物中亦觀察到20%疾病控制率。一般而言,在一個群組之動物之間觀察到腫瘤大小具有相對高的變化。利用KPL-4腫瘤模型在異種移植於裸大鼠上時,此可重複的觀察到。 Importantly, a 20% disease control rate was also observed in animals in the vehicle control group. In general, a relatively high change in tumor size was observed between animals in a cohort. This was repeatedly observed when xenografted on nude rats using the KPL-4 tumor model.

利用化合物A1之連續治療之耐受性良好且未觀察到顯著體重損失(圖4B,表10)。當間歇地給予化合物A1時,在投與化合物A1後觀察到短暫體重損失,但體重恢復至連續QD組之位準,之後給予下一 個劑量。此結果明確指示在KPL4模型中化合物A1之間歇治療與連續的每天一次的治療相比產生更好之抗腫瘤功效及相當之耐受性。 The continuous treatment with Compound A1 was well tolerated and no significant body weight loss was observed (Fig. 4B, Table 10). When Compound A1 was administered intermittently, a brief weight loss was observed after administration of Compound A1, but the body weight returned to the level of the continuous QD group, followed by the next dose. One dose. This result clearly indicates that intermittent treatment of Compound A1 in the KPL4 model produces better anti-tumor efficacy and comparable tolerance compared to continuous once-a-day treatment.

實例7:在患有癌症之患者進行之臨床試驗:劑量方案,連續投藥 Example 7: Clinical trial in patients with cancer: dose regimen, continuous administration

在口服化合物A1之開放標記的非隨機I期劑量遞增研究中,以15mg QD開始連續地每天一次(QD)投與該化合物(即連續投藥)。將此研究之循環定義為21天之時段。 In an open-label, non-randomized phase I dose escalation study of oral Compound A1, the compound was administered once daily (QD) starting with 15 mg QD (ie, continuous administration). The cycle of this study was defined as the 21-day period.

安全性數據之初步評價顯示在MTD(200mg)下出現肺炎及肺囊蟲性肺炎(PcP)之臨床相關發病率。化合物A1對PI3Kδ之活性及對免疫系統之B淋巴球/改變之相關效應為肺炎及PcP之假定原因。 Preliminary evaluation of safety data showed clinically relevant incidence of pneumonia and pneumocystic pneumonia (PcP) under MTD (200 mg). The effect of Compound A1 on PI3Kδ and its associated effect on B lymphocytes/changes in the immune system are hypothetical causes of pneumonia and PcP.

實例8:在患有癌症之患者中之臨床試驗:劑量方案,2給藥日/5停藥日 Example 8: Clinical Trial in Patients with Cancer: Dosage Schedule, 2 Dosing Days/5 Stop Day

在口服化合物A1之開放標記的非隨機I期研究中,該化合物係在間歇2個給藥日/5個停藥日的投藥時間表中以200mg QD給予21天(即3個投與循環),隨後7天不進行治療(即中斷時段),即在每一28天循環之第1天、第2天、第8天、第9天、第15天及第16天投與化合物A1(表11)以在患有局部晚期或轉移性子宮內膜癌或乳癌[患有PTEN(喪失)或PIK3CA突變及KRAS野生型腫瘤(在預篩選時使用循環腫瘤DNA測定)]之個體及患有緩慢進展非何傑金氏淋巴瘤(iNHL)之個體中定義安全特性、PK及生物標記及腫瘤反應特性。此研究之循環係定義為28天之時段(此包括3個投與循環加7天的中斷時段)。根據患者之臨床反應及/或不利事件之出現可調節(降低或增加)日劑量。 In a non-randomized phase I study of open-labeling of oral Compound A1, the compound was administered at 200 mg QD for 21 days (ie 3 administration cycles) in a dosing schedule of 2 dosing days per 5 dosing days. Then, no treatment (ie, interruption period) was performed for 7 days, that is, compound A1 was administered on the first day, the second day, the eighth day, the ninth day, the 15th day, and the 16th day of each 28-day cycle (Table 11) individuals with slow-onset or metastatic endometrial cancer or breast cancer [with PTEN (loss) or PIK3CA mutations and KRAS wild-type tumors (using circulating tumor DNA assays at pre-screening)] Safety characteristics, PK and biomarker and tumor response characteristics are defined in individuals with advanced non-Hodgkin's lymphoma (iNHL). The cycle of this study was defined as a 28-day period (this included 3 cycles of administration plus 7 days of interruption). The daily dose can be adjusted (reduced or increased) depending on the patient's clinical response and/or the occurrence of adverse events.

預期利用間歇投藥時間表服用化合物A1之患者相對於彼等利用 連續投藥服用化合物A1者顯示改良效應。 It is expected that patients taking Compound A1 using the intermittent dosing schedule will use it relative to them. Continuous administration of Compound A1 showed a modified effect.

實例9:在大鼠中利用化合物A1口服4週的毒性研究 Example 9: Toxicity study using compound A1 for 4 weeks in rats

在Wistar大鼠中在4週的重複劑量毒性研究中利用0mg/kg、5.0mg/kg、10.0mg/kg及15.0mg/kg之每天一次的口服劑量測試化合物A1。接受105mg/kg(15.0mg/kg/天×7天)之累積劑量之一個額外高劑量組包括在間歇治療時間表(每週一次,總共3次投與)內。在各別治療時段結束時將主組動物處死。使用衛星動物進行毒動學評估且在4週的恢復時段中評價潛在化合物相關性效應之可逆性。 Compound A1 was tested in a 4-week repeated dose toxicity study in Wistar rats using a daily oral dose of 0 mg/kg, 5.0 mg/kg, 10.0 mg/kg, and 15.0 mg/kg. An additional high dose group receiving a cumulative dose of 105 mg/kg (15.0 mg/kg/day x 7 days) was included in the intermittent treatment schedule (once a week, for a total of 3 doses). The primary group of animals were sacrificed at the end of each treatment session. The toxicology assessment was performed using satellite animals and the reversibility of potential compound-related effects was evaluated during the 4-week recovery period.

集中於脾臟及淋巴結在淋巴器官中之組織學發現係如下文所概述:The histological findings focused on the spleen and lymph nodes in the lymphoid organs are summarized as follows:

在脾臟中,觀察到邊緣之區萎縮及血鐵質沈積物之增加。邊緣區萎縮之嚴重程度隨著日劑量的增加以劑量依賴性方式增加,每週高劑量顯示與每日低劑量類似之程度。在每日施用下觀察到發病率及血鐵質沈積物之嚴重性之增加且此係在雌性動物中在低劑量下開始。其於雄性動物中在高日劑量下亦存在。在每週化合物施用下,在脾臟中觀察到髓外造血作用之增加。 In the spleen, atrophy of the marginal zone and an increase in blood iron deposits were observed. The severity of atrophy in the marginal zone increased in a dose-dependent manner with increasing daily doses, with weekly high doses showing similar levels to daily low doses. An increase in the incidence and severity of hematite deposits was observed under daily administration and this was initiated in females at low doses. It is also present in male animals at high daily doses. An increase in extramedullary hematopoiesis was observed in the spleen under weekly compound administration.

在低日劑量及更高日劑量下,淋巴結顯示最小限度至中等的萎縮及最小限度至輕微的淋巴缺乏。每週高劑量顯示與每日低劑量類似之程度。另外,三隻雄性動物在腸系膜淋巴結中顯示最小限度的淋巴增生。 At low daily doses and higher daily doses, lymph nodes showed minimal to moderate atrophy and minimal to mild lymphoid deficiency. High weekly doses show similar levels to daily low doses. In addition, three male animals showed minimal lymphoid hyperplasia in the mesenteric lymph nodes.

在恢復時段結束時,淋巴缺乏及萎縮消失。在恢復時段結束時在所有劑量組(包括對照)之若干動物中觀察到脾臟中增加之造血作用。與每週高劑量組相比,未觀察到任何差異。 At the end of the recovery period, lymphoid deficiencies and atrophy disappear. Increased hematopoiesis in the spleen was observed in several animals in all dose groups (including controls) at the end of the recovery period. No differences were observed compared to the weekly high dose group.

在治療結束後及在4週的恢復時段結束時淋巴器官中之化合物相關性組織學發現係於下文給出。 Compound-related histological findings in lymphoid organs at the end of treatment and at the end of the 4-week recovery period are given below.

表12.在4週的治療時段終止時動物之淋巴器官中之化合物相關性組織學發現。Table 12. Compound-related histological findings in lymphoid organs of animals at the end of the 4-week treatment period.

M=雄性,F=雌性 M = male, F = female

斜線前/後之數字=在治療終止時經排程處死之動物/死亡及/或即將殺死之動物 Number before/after the slash = animal killed by death or death and/or animal to be killed at the end of treatment

105mg/kg *=每週一次投與化合物達3週,第2天至第7天投與10ml/kg媒劑 105mg/kg *=The compound is administered once a week for 3 weeks, and 10ml/kg is administered from the 2nd to the 7th day.

分級: Rating:

1=極輕,最小限度2=輕微3=中等 1=very light, minimum 2 = light 3 = medium

4=顯著5=嚴重 4=significant 5=serious

M=雄性,F=雌性 M = male, F = female

斜線前/後之數字=在治療終止時經排程處死之動物/死亡及/或即將殺死之動物 Number before/after the slash = animal killed by death or death and/or animal to be killed at the end of treatment

105mg/kg *=每週一次投與化合物達3週,第2天至第7天投與10ml/kg媒劑 105mg/kg *=The compound is administered once a week for 3 weeks, and 10ml/kg is administered from the 2nd to the 7th day.

分級: Rating:

1=極輕,最小限度2=輕微3=中等 1=very light, minimum 2 = light 3 = medium

4=顯著5=嚴重 4=significant 5=serious

結論:in conclusion:

目前臨床研發中之PI3K抑制劑主要係經口且連續地進行投藥。由於僅少數PI3K抑制劑證實具有臨床活性,故大多數PI3K抑制劑在達到實質抗腫瘤功效之前顯示副效應。驚奇地,吾人已發現根據本文所闡述劑量方案之間歇治療與連續治療相比產生更好之抗腫瘤功效。基於所預料之作用模式,對於腫瘤生長及存活之有效抑制,藉由PI3K抑制劑對腫瘤組織中PI3K路徑之有效阻抑可能有利。可將該PI3K抑制劑適用至其他PI3K介導之病症。吾人已驚奇地發現利用間歇投藥之化合物A1之初始高暴露引起更強且更長久之路徑抑制,如藉由p-AKT及p-PRAS40相對於連續投藥(在相應MTD下)所量測。p-PRAS40之完全抑制(>90%)與腫瘤細胞中之細胞凋亡誘導(藉由經裂解半胱天冬酶3及PARP來評價)相關且係在相應MTD下利用間歇投藥而非利用連續投藥來達成。另外,GXA 3027胃癌模型及KPL4乳房腫瘤模型中之活體內功效研究證實間歇治療對連續治療具有驚奇的優越性。該等集合結果明確顯示使用PI3K抑制劑利用本發明之間歇投藥時間表達成較好之抗腫瘤功效及/或維持或改良安全特性,此值得該抑制劑進一步用於臨床環境中。 Currently, PI3K inhibitors in clinical development are mainly administered orally and continuously. Since only a few PI3K inhibitors have demonstrated clinical activity, most PI3K inhibitors show side effects before achieving substantial anti-tumor efficacy. Surprisingly, we have found that intermittent treatment according to the dosage regimen described herein produces better anti-tumor efficacy than continuous treatment. Based on the expected mode of action, effective inhibition of tumor growth and survival may be beneficial by the effective suppression of the PI3K pathway in tumor tissue by PI3K inhibitors. This PI3K inhibitor can be applied to other PI3K mediated conditions. We have surprisingly found that initial high exposure to Compound A1 using intermittent administration results in stronger and longer path inhibition, as measured by p-AKT and p-PRAS40 versus continuous administration (under the corresponding MTD). Complete inhibition of p-PRAS40 (>90%) is associated with apoptosis induction in tumor cells (as assessed by cleavage of caspase 3 and PARP) and is based on intermittent administration rather than continuous administration at the corresponding MTD Give medicine to achieve. In addition, in vivo efficacy studies in the GXA 3027 gastric cancer model and the KPL4 breast tumor model demonstrated that intermittent therapy is surprisingly superior to continuous therapy. These pooled results clearly indicate that using the PI3K inhibitor to achieve better anti-tumor efficacy and/or maintaining or improving safety characteristics using the intermittent dosing schedule of the present invention, it is worthwhile to further use the inhibitor in a clinical setting.

Claims (69)

一種式(I)化合物, 其中:R1代表-(CH2)n-(CHR4)-(CH2)m-N(R5)(R5’);R2代表以下結構之雜芳基: 其視情況經1個、2個或3個R6基團取代,其中:*代表該雜芳基與通式(I)之化合物之其餘部分之附接點,X代表N或C-R6,X’代表O、S、NH、N-R6、N或C-R6,前提係當X及X’均為C-R6時,則一個C-R6為C-H;R3係甲基;R4係羥基;R5及R5’相同或不同且彼此獨立地係氫原子或C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷氧基-C1-C6-烷基,或R5及R5’與其所結合之氮原子一起代表3至7員含氮雜環,該雜環視情況含有至少一個選自氧、氮或硫之其他雜原子且其可視 情況經1個或多個R6’基團取代;每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或-NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代;每次出現之R6’可相同或不同且獨立地係C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷基-OR7;每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;n係1之整數且m係1之整數;前提係當該R5及R5’與其所結合之氮原子一起代表以下結構時: 其中*代表與通式(I)之結構之其餘部分之附接點,則以下結構之該R2雜芳基: 不為: 其中*代表與通式(I)之該結構之其餘部分之附接點,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物;該式(I)化合物用於預防或治療過度增殖及/或血管生成病症,其中在每一投與循環中將該式(I)化合物投與1至5天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 a compound of formula (I), Wherein: R 1 represents -(CH 2 ) n -(CHR 4 )-(CH 2 ) m -N(R 5 )(R 5' ); and R 2 represents a heteroaryl group of the following structure: It is optionally substituted with 1, 2 or 3 R 6 groups, wherein: * represents the attachment point of the heteroaryl group to the rest of the compound of formula (I), X represents N or CR 6 , X 'Represents O, S, NH, NR 6 , N or CR 6 , provided that when both X and X' are CR 6 , then one CR 6 is CH; R 3 is methyl; R 4 is hydroxyl; R 5 and R 5 'is the same or different and independently of each other is a hydrogen atom or a C 1 -C 6 -alkyl group, a C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl group or a C 1 -C 6 -alkoxy group The base-C 1 -C 6 -alkyl group, or R 5 and R 5 ' together with the nitrogen atom to which they are bonded represent a 3 to 7 member nitrogen-containing heterocyclic ring, the heterocyclic ring optionally containing at least one selected from the group consisting of oxygen, nitrogen or sulfur. Other heteroatoms and which may optionally be substituted by one or more R 6 ' groups; each occurrence of R 6 may be the same or different and independently hydrogen, halogen, C 1 -C 6 -alkyl, C 2- C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl, aryl -C 1 -C 6 -alkyl, heteroaryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclyl-C 1 -C 6 -alkane group, -C 1 -C 6 - alkyl -OR 7, -C 1 -C 6 - Group -SR 7, -C 1 -C 6 - alkyl -N (R 7) (R 7 '), - C 1 -C 6 - alkyl -C (= O) R 7, -CN, -C ( =O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 )(R 7' ) or -NR 7 C(=O R 7 , each of which may be optionally substituted with one or more R 8 groups; each occurrence of R 6 ' may be the same or different and independently C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkyl-OR 7 ; each occurrence of R 7 and R 7 ' may be the same or different and independently hydrogen Atom or C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1- C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic ring -C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; each occurrence of R 8 is independently a halogen atom or a nitro group, a hydroxyl group, a cyano group, a decyl group, an ethyl group Base, amine group, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkane , C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 1 -C 6 -cycloalkenyl, aryl, aromatic -C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, heterocyclyl-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; An integer of 1 and m is an integer of 1; the premise is when the R 5 and R 5' together with the nitrogen atom to which they are bonded represent the following structure: Where * represents an attachment point to the rest of the structure of formula (I), then the R 2 heteroaryl of the following structure: Not for: Wherein * represents an attachment point to the remainder of the structure of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof or a mixture thereof; A compound of formula (I) for use in preventing or treating a hyperproliferative and/or angiogenic disorder wherein the compound of formula (I) is administered for a period of from 1 to 5 days, followed by 3 to 6 days, in each administration cycle. The compound of formula (I) is administered or the placebo is administered during the time period. 如請求項1使用之化合物,其中R1代表-(CH2)n-(CHR4)-(CH2)m-N(R5)(R5’);R2代表以下結構之雜芳基: 其中:*代表該雜芳基與通式(I)之該結構之其餘部分之附接點;R3係甲基;R4係羥基;R5及R5’相同或不同且彼此獨立地係氫原子或C1-C6-烷基、C3- C6-環烷基-C1-C6-烷基或C1-C6-烷氧基-C1-C6-烷基,或R5及R5’與其所結合之氮原子一起代表3至7員含氮雜環,該雜環視情況含有至少一個選自氧、氮或硫之其他雜原子且其可視情況經1個或多個R6’基團取代;每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或-NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代;每次出現之R6’可相同或不同且獨立地係C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷基-OR7;每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;n係1之整數且m係1之整數;前提係當 該R5及R5’與其所結合之氮原子一起代表以下結構時: 其中*代表與通式(I)之該結構之其餘部分之附接點,則以下結構之該R2雜芳基: 不為: 其中*代表與通式(I)之該結構之其餘部分之附接點,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 A compound as claimed in claim 1, wherein R 1 represents -(CH 2 ) n -(CHR 4 )-(CH 2 ) m -N(R 5 )(R 5' ); R 2 represents a heteroaryl group of the following structure : Wherein: * represents the attachment point of the heteroaryl group to the rest of the structure of the formula (I); R 3 is a methyl group; R 4 is a hydroxyl group; and R 5 and R 5' are the same or different and independently of each other a hydrogen atom or a C 1 -C 6 - alkyl, C 3 - C 6 - cycloalkyl, -C 1 -C 6 - alkyl or C 1 -C 6 - alkoxy, -C 1 -C 6 - alkyl, Or R 5 and R 5 ' together with the nitrogen atom to which they are bonded represent a 3 to 7 member nitrogen-containing heterocyclic ring which optionally contains at least one other hetero atom selected from oxygen, nitrogen or sulfur and which may optionally be 1 or Substituting a plurality of R 6 ' groups; each occurrence of R 6 may be the same or different and independently a hydrogen atom, a halogen atom, a C 1 -C 6 -alkyl group, a C 2 -C 6 -alkenyl group, a C 2 - C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl, aryl-C 1 -C 6 -alkyl, Heteroaryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic group -C 1 -C 6 -alkyl, -C 1 -C 6 -alkyl -OR 7 , -C 1 -C 6 -alkyl-SR 7 , -C 1 -C 6 -alkyl-N(R 7 )(R 7' ), -C 1 -C 6 -alkyl-C( =O)R 7 , -CN, -C(=O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 )( R 7' ) or -NR 7 C (=O)R 7 , each of which may be substituted with one or more R 8 groups as appropriate; each occurrence of R 6 ' may be the same or different and independently C 1 -C 6 - Alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkyl-OR 7 ; each occurrence of R 7 and R 7 ' may be the same or different and independent a hydrogen atom or a C 1 -C 6 -alkyl group, a C 2 -C 6 -alkenyl group, a C 2 -C 6 -alkynyl group, a C 3 -C 6 -cycloalkyl group, a C 3 -C 6 -cycloalkane -C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, 3 to 8 Heterocyclyl-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; each occurrence of R 8 is independently a halogen atom or a nitro group, a hydroxyl group, a cyano group, a decyl group , Ethyl, amino, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 1 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, hetero An aryl group, a 3 to 8 membered heterocyclic ring, a heterocyclic group -C 1 -C 6 -alkyl or a heteroaryl-C 1 -C 6 -alkyl group; n is an integer of 1 and an integer of m is 1; When the R 5 and When R 5 ' together with the nitrogen atom to which it is bonded represents the following structure: Where * represents the attachment point to the remainder of the structure of formula (I), then the R 2 heteroaryl of the following structure: Not for: Wherein * represents an attachment point to the remainder of the structure of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, specifically physiological A salt that is acceptable for learning or a mixture thereof. 如請求項1或2使用之化合物,其中該式(I)化合物係選自由以下組成之群:N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2S)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-{8-[2-羥基-3-(硫嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-{8-[3-(二甲基胺基)-2-羥基丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺N-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基- 2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺6-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺6-胺基-N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺2-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺2-胺基-N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]嘧啶-5-甲醯胺2-胺基-N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺二鹽酸鹽2-胺基-N-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-3H-咪唑[4,5-b]吡啶-6-甲醯胺N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]-1,3-噻唑-5-甲醯胺N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺 N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-4-甲基-1,3-噻唑-5-甲醯胺2-胺基-N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-4-甲基-1,3-噻唑-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噁唑-5-甲醯胺N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 A compound as claimed in claim 1 or 2, wherein the compound of formula (I) is selected from the group consisting of N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)) Propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[( 2S)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline-5- Pyridyl-3-carboxamide N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxypropyl} Oxy)-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyridine-3-carboxamide N-(8-{[(2R)- 2-hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [ 1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-{8-[2-hydroxy-3-(thiomorpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline- 5-yl}pyridine-3-carboxamide N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(pyrrolidine) -1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-( 8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c] Quinazoline-5-yl)pyridine-3-carboxamide N-{8-[3-(dimethylamino)-2-hydroxypropoxy]-7-methoxy-2,3-di Hydrogen imidazo[1,2-c]quinazolin-5-yl}pyridine-3-carboxamide N-(8-{[(2R)-3-(dimethylamino)-2-hydroxypropyl) ]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[(2R) 3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline-5- Pyridyl-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3 -Dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[(2R)-3 -(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl) -2-methylpyridine-3-carboxamide N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxyl) Propyl}oxy)-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]-2-methylpyridine-3-carboxamide N-( 8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c] quin Oxazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy }-7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[( 2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy- 2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide 6-amino-N-{8-[2-hydroxy-3 -(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl}pyridine-3-carboxamide 6 -amino-N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [ 1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl) )propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide 2-amino-N- {8-[2-Hydroxy-3-(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl Pyrimidine-5-carbamidamine 2-amino-N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2- Hydroxypropyl}oxy)-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyrimidine-5-carboxamide 2-amino-N- (8-{[(2R)-2-Hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy}-7-methoxy -2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide dihydrochloride 2-amino-N-(8-{[(2R)- 3-(Dimethylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline-5- Pyrimidine-5-carbamide N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3 -Dihydroimidazo[1,2-c]quinazolin-5-yl)-3H-imidazo[4,5-b]pyridine-6-carboxamide N-(8-{[(2R)-2- Hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-1, 3-thiazole-5-formamide N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxypropyl} Oxy)-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]-1,3-thiazole-5-carboxamide N-(8-{ [(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c] quinazole Porphyrin-5-yl)-1,3-thiazol-5-carboxamide N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2- c] quinazolin-5-yl)-1,3-thiazole-5-carboxamide N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl ]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-1,3-thiazole-5-carboxamide N-(8- {[(2R)-2-Hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline -5-yl)-4-methyl-1,3-thiazol-5-carboxamide 2-amino-N-(8-{[(2R)-2-hydroxy-3-(morpholin-4- Propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-4-methyl-1,3-thiazole-5 -Procarbamide N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [ 1,2-c]quinazolin-5-yl)-1,3-oxazol-5-carboxamide N-(8-{[(2R)-3-(dipropan-2-ylamino)) -2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-1,3-thiazole-5-formamidine An amine, or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular a physiologically acceptable salt or a mixture thereof. 如請求項1至3中任一項使用之化合物,其中該式(I)化合物係選自由以下組成之群:N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺 N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-3-(氮雜環丁-1-基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-3-(二丙-2-基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(六氫吡啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噻唑-5-甲醯胺N-(8-{[(2R)-2-羥基-3-(吡咯啶-1-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-1,3-噁唑-5-甲醯胺,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 The compound for use according to any one of claims 1 to 3, wherein the compound of the formula (I) is selected from the group consisting of N-(8-{[(2R)-2-hydroxy-3-(morpholine-) 4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-[8 -({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)-7-methoxy-2,3 -Dihydroimidazo[1,2-c]quinazolin-5-yl]pyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(8-oxa-3) -azabicyclo[3.2.1]oct-3-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl Pyridine-3-carboxamide N-(8-{[(2R)-3-(azetidin-1-yl)-2-hydroxypropyl]oxy}-7-methoxy-2, 3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1- Propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2 -c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[(2R)-3-(dimethylamino)-2-hydroxypropyl]oxy}-7 -Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3-carboxamide N-(8-{[(2R)-3-(dipropyl) -2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyridine-3- Formamide N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1 ,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[(2R)-3-(azetidin-1-yl)-2 -hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N -(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c Uquinazoline-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl] Oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{ [(2R)-3-(dipropan-2-ylamino)-2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazole [ 1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide N-(8-{[(2R)-2-hydroxy-3-(pyrrolidin-1-yl) )propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide N-(8-{[ (2R)-2-hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline-5 -yl)-1,3-thiazole-5-formamide N-(8-{[(2R)-2-hydroxy-3-(hexahydropyridin-1-yl)propyl]oxy}-7- Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-1,3-thiazole-5-carboxamide N-(8-{[(2R)-2 -hydroxy-3-(pyrrolidin-1-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-1 , 3-oxazole-5-carboxamide, or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, in particular a physiologically acceptable salt or mixture. 如請求項1使用之化合物,其中R1代表-(CH2)n-(CHR4)-(CH2)m-N(R5)(R5’);R2代表以下結構之雜芳基: 其中:*代表該雜芳基與通式(I)之該結構之其餘部分之附接點,且X代表N或C-R6;R3係甲基;R4係羥基;R5及R5’相同或不同且彼此獨立地係氫原子或C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷氧基-C1-C6-烷基,或R5及R5’與其所結合之氮原子一起代表3至7員含氮雜環,該雜環視情況含有至少一個選自氧、氮或硫之其他雜原子且其可視情況經1個或多個R6’基團取代;每次出現之R6可相同或不同且獨立地係氫原子、鹵素原子、C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、芳基、芳基-C1-C6-烷基、雜芳基、雜芳基-C1-C6-烷基、3至8員雜環、3至8員雜環基-C1-C6-烷基、-C1-C6-烷基-OR7、-C1-C6-烷基-SR7、-C1-C6-烷基-N(R7)(R7’)、-C1-C6-烷基-C(=O)R7、-CN、-C(=O)OR7、-C(=O)N(R7)(R7’)、-OR7、-SR7、-N(R7)(R7’)或-NR7C(=O)R7,該等中之每一者均可視情況經1個或多個R8基團取代; 每次出現之R6’可相同或不同且獨立地係C1-C6-烷基、C3-C6-環烷基-C1-C6-烷基或C1-C6-烷基-OR7;每次出現之R7及R7’可相同或不同且獨立地係氫原子或C1-C6-烷基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C3-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、3至8員雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;每次出現之R8獨立地係鹵素原子或硝基、羥基、氰基、甲醯基、乙醯基、胺基、C1-C6-烷基、C1-C6-烷氧基、C2-C6-烯基、C2-C6-炔基、C3-C6-環烷基、C3-C6-環烷基-C1-C6-烷基、C1-C6-環烯基、芳基、芳基-C1-C6-烷基、雜芳基、3至8員雜環、雜環基-C1-C6-烷基或雜芳基-C1-C6-烷基;n係1之整數且m係1之整數;或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 A compound as claimed in claim 1, wherein R 1 represents -(CH 2 ) n -(CHR 4 )-(CH 2 ) m -N(R 5 )(R 5' ); R 2 represents a heteroaryl group of the following structure : Wherein: * represents the attachment point of the heteroaryl group to the remainder of the structure of formula (I), and X represents N or CR 6 ; R 3 is methyl; R 4 is hydroxy; R 5 and R 5' The same or different and independently of each other are a hydrogen atom or a C 1 -C 6 -alkyl group, a C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl group or a C 1 -C 6 -alkoxy-C group. 1 -C 6 -alkyl, or R 5 and R 5 ' together with the nitrogen atom to which they are bonded represent a 3 to 7 membered nitrogen-containing heterocyclic ring containing optionally at least one other hetero atom selected from oxygen, nitrogen or sulfur. And optionally substituted with 1 or more R 6 ' groups; each occurrence of R 6 may be the same or different and independently hydrogen atom, halogen atom, C 1 -C 6 -alkyl, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, aryl, aryl-C 1- C 6 -alkyl, heteroaryl, heteroaryl-C 1 -C 6 -alkyl, 3 to 8 membered heterocyclic ring, 3 to 8 membered heterocyclic group -C 1 -C 6 -alkyl, - C 1 -C 6 -alkyl-OR 7 , -C 1 -C 6 -alkyl-SR 7 , -C 1 -C 6 -alkyl-N(R 7 )(R 7' ), -C 1 - C 6 -alkyl-C(=O)R 7 , -CN, -C(=O)OR 7 , -C(=O)N(R 7 )(R 7' ), -OR 7 , -SR 7 , -N(R 7 ) (R 7' ) or -NR 7 C(=O)R 7 , each of which may be substituted by one or more R 8 groups as appropriate; R 6 ' may be the same for each occurrence Or different and independently C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl or C 1 -C 6 -alkyl-OR 7 ; R 7 and R 7 ' may be the same or different and independently a hydrogen atom or a C 1 -C 6 -alkyl group, a C 2 -C 6 -alkenyl group, a C 2 -C 6 -alkynyl group, a C 3 -C 6 - Cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkenyl, aryl, aryl-C 1 -C 6 -alkyl, heteroaryl a 3 to 8 membered heterocyclic ring, a 3 to 8 membered heterocyclyl-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl group; each occurrence of R 8 is independently a halogen atom Or nitro, hydroxy, cyano, decyl, ethenyl, amine, C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, C 2 -C 6 -alkenyl, C 2 -C 6 -alkynyl, C 3 -C 6 -cycloalkyl, C 3 -C 6 -cycloalkyl-C 1 -C 6 -alkyl, C 1 -C 6 -cycloalkenyl, aryl, aryl -C 1 -C 6 -alkyl, heteroaryl, 3 to 8 membered heterocyclic ring, heterocyclyl-C 1 -C 6 -alkyl or heteroaryl-C 1 -C 6 -alkyl; An integer of 1 and an integer of m Or stereoisomers thereof, tautomers, N- oxide, hydrate, solvate or salt thereof, particularly the physiologically acceptable terms or mixtures thereof. 如請求項1或5使用之化合物,其中該式(I)化合物係選自由以下組成之群:6-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}吡啶-3-甲醯胺6-胺基-N-(8-{[(2S)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)吡啶-3-甲醯胺6-胺基-N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺2-胺基-N-{8-[2-羥基-3-(嗎啉-4-基)丙氧基]-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺2-胺基-N-{8-{[(2S)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基}嘧啶-5-甲醯胺 2-胺基-N-[8-({(2R)-3-[(2R,6S)-2,6-二甲基嗎啉-4-基]-2-羥基丙基}氧基)-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基]嘧啶-5-甲醯胺2-胺基-N-(8-{[(2R)-2-羥基-3-(8-氧雜-3-氮雜二環[3.2.1]辛-3-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺二鹽酸鹽2-胺基-N-{8-{[(2R)-3-(二甲基胺基)-2-羥基丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)嘧啶-5-甲醯胺,或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽、具體而言生理學上可接受之鹽或其混合物。 A compound as claimed in claim 1 or 5, wherein the compound of formula (I) is selected from the group consisting of 6-amino-N-{8-[2-hydroxy-3-(morpholin-4-yl) Propoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl}pyridine-3-carboxamide 6-amino-N-(8- {[(2S)-2-Hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazoline -5-yl)pyridine-3-carboxamide 6-amino-N-(8-{[(2R)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7 -Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide 2-Amino-N-{8-[ 2-hydroxy-3-(morpholin-4-yl)propoxy]-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl}pyrimidine-5 -carbamamine 2-amino-N-{8-{[(2S)-2-hydroxy-3-(morpholin-4-yl)propyl]oxy}-7-methoxy-2,3 -Dihydroimidazo[1,2-c]quinazolin-5-yl}pyrimidine-5-carboxamide 2-Amino-N-[8-({(2R)-3-[(2R,6S)-2,6-dimethylmorpholin-4-yl]-2-hydroxypropyl}oxy)- 7-Methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl]pyrimidine-5-carboxamide 2-amino-N-(8-{[(2R) 2-hydroxy-3-(8-oxa-3-azabicyclo[3.2.1]oct-3-yl)propyl]oxy}-7-methoxy-2,3-dihydroimidazole [1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide dihydrochloride 2-amino-N-{8-{[(2R)-3-(dimethylamino) -2-hydroxypropyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)pyrimidine-5-carboxamide, or Stereoisomers, tautomers, N-oxides, hydrates, solvates or salts, in particular physiologically acceptable salts or mixtures thereof. 如請求項1至4中任一項使用之式(I)化合物,其中該式(I)化合物係N-(8-{[(2R)-2-羥基-3-(嗎啉-4-基)丙基]氧基}-7-甲氧基-2,3-二氫咪唑[1,2-c]喹唑啉-5-基)-2-甲基吡啶-3-甲醯胺或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物。 A compound of formula (I) as used in any one of claims 1 to 4, wherein the compound of formula (I) is N- (8-{[(2R)-2-hydroxy-3-(morpholin-4-yl) )propyl]oxy}-7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin-5-yl)-2-methylpyridine-3-carboxamide or Stereoisomers, tautomers, N-oxides, hydrates, solvates or salts or mixtures thereof. 如請求項1至7中任一項使用之式(I)化合物,其中在每一投與循環中將該式(I)化合物投與1天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 A compound of formula (I) as claimed in any one of claims 1 to 7, wherein the compound of formula (I) is administered for a period of one day in each administration cycle, followed by a period of from 3 to 6 days. The compound of formula (I) is administered or a placebo is administered. 如請求項1至7中任一項使用之式(I)化合物,其中在每一投與循環中將該式(I)化合物投與2天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 A compound of formula (I) as claimed in any one of claims 1 to 7, wherein the compound of formula (I) is administered for a period of 2 days in each administration cycle, followed by a period of 3 to 6 days. The compound of formula (I) is administered or a placebo is administered. 如請求項1至7中任一項使用之式(I)化合物,其中在每一投與循環中將該式(I)化合物投與3天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 A compound of formula (I) as claimed in any one of claims 1 to 7, wherein the compound of formula (I) is administered for a period of 3 days in each administration cycle, followed by a period of 3 to 6 days. The compound of formula (I) is administered or a placebo is administered. 如請求項1至7中任一項使用之式(I)化合物,其中在每一投與循環中將該式(I)化合物投與4天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 A compound of formula (I) as claimed in any one of claims 1 to 7, wherein the compound of formula (I) is administered for a period of 4 days in each administration cycle, followed by a period of 3 to 6 days. The compound of formula (I) is administered or a placebo is administered. 如請求項1至7中任一項使用之式(I)化合物,其中在每一投與循環中將該式(I)化合物投與5天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 A compound of formula (I) as claimed in any one of claims 1 to 7, wherein the compound of formula (I) is administered for a period of 5 days in each administration cycle, followed by a period of 3 to 6 days. The compound of formula (I) is administered or a placebo is administered. 如請求項1至12中任一項使用之式(I)化合物,其中該投與循環係實施1次、2次、3次或4次。 A compound of formula (I) as used in any one of claims 1 to 12, wherein the administration cycle is carried out once, twice, three times or four times. 如請求項1至12中任一項使用之式(I)化合物,其中該投與循環係實施1次、2次、3次或4次,隨後在4至8天之中斷時段中不投與該式(I)化合物。 A compound of formula (I) as claimed in any one of claims 1 to 12, wherein the administration cycle is carried out once, twice, three times or four times, and then not administered during the interruption period of 4 to 8 days The compound of formula (I). 如請求項1至14中任一項使用之式(I)化合物,其中在每一投與循環中以約200mg至約1000mg之總量投與該式(I)化合物。 The compound of formula (I) as used in any one of claims 1 to 14, wherein the compound of formula (I) is administered in a total amount of from about 200 mg to about 1000 mg in each administration cycle. 如請求項1至15中任一項使用之式(I)化合物,其中在每一投與循環中以約400mg至約800mg之總量投與該式(I)化合物。 The compound of formula (I) as used in any one of claims 1 to 15, wherein the compound of formula (I) is administered in a total amount of from about 400 mg to about 800 mg in each administration cycle. 如請求項1至16中任一項使用之式(I)化合物,其中該式(I)化合物係在投與其之日期以約50mg/天至約400mg/天之量投與。 A compound of formula (I), as used in any one of claims 1 to 16, wherein the compound of formula (I) is administered in an amount of from about 50 mg/day to about 400 mg/day on the date of administration. 如請求項1至17中任一項使用之式(I)化合物,其中該式(I)化合物係在投與其之日期以約100mg/天至約400mg/天之量投與。 A compound of formula (I) as used in any one of claims 1 to 17, wherein the compound of formula (I) is administered in an amount of from about 100 mg/day to about 400 mg/day on the date of administration. 如請求項1至18中任一項使用之式(I)化合物,其與一或多種選自以下之其他活性成份組合:紫杉烷(taxane),例如多西他賽(Docetaxel)、太平洋紫杉醇(Paclitaxel)或紫杉醇(Taxol);埃博黴素(epothilone),例如伊沙匹隆(Ixabepilone)、帕土匹隆(Patupilone)或沙戈匹隆(Sagopilone);米托蒽醌(Mitoxantrone);潑尼松龍(Prednisolone);地塞米松(Dexamethasone);雌莫司汀(Estramustin);長春鹼(Vinblastin);長春新鹼(Vincristin);多柔比星(Doxorubicin);阿黴素(Adriamycin);伊達比星(Idarubicin);道諾黴素(Daunorubicin);博來黴素(Bleomycin);依託泊苷(Etoposide);環磷醯胺;異環磷醯胺(Ifosfamide);丙卡 巴肼(Procarbazine);美法侖(Melphalan);5-氟尿嘧啶;卡培他濱(Capecitabine);氟達拉濱(Fludarabine);阿糖胞苷(Cytarabine);Ara-C;2-氯-2'-去氧腺苷;硫鳥嘌呤(Thioguanine);抗雄激素,例如氟他胺(Flutamide)、乙酸環丙孕酮(Cyproterone acetate)或比卡魯胺(Bicalutamide);硼替佐米(Bortezomib);鉑衍生物,例如順鉑(Cisplatin)或卡鉑(Carboplatin);苯丁酸氮芥(Chlorambucil);甲胺蝶呤(Methotrexate);利妥昔單抗(Rituximab);及鹼土放射性核種鐳-223之醫藥上可接受之鹽。 A compound of formula (I), as used in any one of claims 1 to 18, in combination with one or more other active ingredients selected from the group consisting of taxanes, such as docetaxel, paclitaxel (Paclitaxel) or paclitaxel (Taxol); epothilone, such as Ixabepilone, Patugpilone or Sagopilone; Mitoxantrone; Prednisolone; Dexamethasone; Estramustin; Vinblastin; Vincristin; Doxorubicin; Adriamycin ; Idarubicin; Daunorubicin; Bleomycin; Etoposide; Cyclophosphamide; Ifosfamide; Procarbazine; Melphalan; 5-fluorouracil; Capecitabine; Fludarabine; Cytarabine; Ara-C; 2-Chloro-2 '-Deoxyadenosine; Thioguanine; Antiandrogen, such as Flutamide, Cyproterone acetate or Bicalutamide; Bortezomib Platinum derivatives, such as Cisplatin or Carboplatin; Chlorambucil; Methotrexate; Rituximab; and alkaline earth radioactive radium 223 pharmaceutically acceptable salts. 如請求項1至18中任一項使用之式(I)化合物,其與選自以下之抗過度增殖劑、細胞毒性劑及細胞生長抑制劑組合:5-FU或5-FU之前藥,例如5'-去氧-5-氟尿苷、卡培他濱、BOF-A2、替加氟(tegafur)、UFT或S-1;基於鉑之抗腫瘤劑,例如奧沙利鉑(oxaliplatin)、順鉑或卡鉑;及紫杉烷,例如多西他賽或太平洋紫杉醇;或其組合。 A compound of formula (I) for use in any one of claims 1 to 18 in combination with an anti-hyperproliferative agent, a cytotoxic agent and a cytostatic agent selected from the group consisting of 5-FU or 5-FU prodrugs, for example 5'-deoxy-5-fluorouridine, capecitabine, BOF-A2, tegafur, UFT or S-1; platinum-based antitumor agents, such as oxaliplatin, Cisplatin or carboplatin; and a taxane such as docetaxel or paclitaxel; or a combination thereof. 如請求項1至18中任一項使用之式(I)化合物,其與該鹼土放射性核種鐳-223之醫藥上可接受之鹽、例如二氯化鐳-223組合。 A compound of formula (I) for use in any one of claims 1 to 18 in combination with a pharmaceutically acceptable salt of the alkaline earth radioactive seed radium-223, such as radium dichloride-223. 如請求項1至21中任一項使用之式(I)化合物,其中該式(I)化合物係與該其他一或多種其他活性成份同時、伴隨、單獨或依序投與。 A compound of formula (I) as used in any one of claims 1 to 21, wherein the compound of formula (I) is administered concomitantly, concomitantly, separately or sequentially with the other one or more other active ingredients. 如請求項1至22中任一項使用之式(I)化合物,其中該過度增殖及/或血管生成病症係失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病,更具體而言由磷脂醯肌醇-3-激酶(PI3K)路徑介導之病症,甚至更具體而言係血液腫瘤、實體腫瘤及/或其轉移,例如白血病及脊髓發育不良症候群、惡性淋巴瘤、頭頸部腫瘤(包括腦瘤及腦轉移)、胸部腫瘤(包括非小細胞及小細胞肺腫瘤)、胃腸道腫瘤、內分泌腫瘤、乳 房及其他婦科腫瘤、泌尿系統腫瘤(包括腎腫瘤、膀胱腫瘤及前列腺腫瘤)、皮膚腫瘤及肉瘤及/或其轉移。 A compound of formula (I), as used in any one of claims 1 to 22, wherein the hyperproliferative and/or angiogenic disorder is uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cellular inflammation Diseases of the reaction, more specifically those mediated by the phospholipid inositol-3-kinase (PI3K) pathway, and even more specifically hematological tumors, solid tumors and/or their metastases, such as leukemia and myelodysplastic syndromes , malignant lymphoma, head and neck tumors (including brain tumors and brain metastases), chest tumors (including non-small cells and small cell lung tumors), gastrointestinal tumors, endocrine tumors, milk House and other gynecological tumors, urological tumors (including kidney tumors, bladder tumors and prostate tumors), skin tumors and sarcomas and/or their metastases. 如請求項1至22中任一項使用之式(I)化合物,其中該過度增殖及/或血管生成病症係胃癌。 A compound of formula (I), as used in any one of claims 1 to 22, wherein the hyperproliferative and/or angiogenic disorder is gastric cancer. 如請求項1至22中任一項使用之式(I)化合物,其中該過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌及/或其轉移。 A compound of the formula (I) for use according to any one of claims 1 to 22, wherein the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically, non-small Cell lung cancer), colorectal cancer, melanoma, pancreatic cancer and/or its metastasis. 如請求項1至22中任一項使用之式(I)化合物,其中該過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌伴隨骨轉移。 A compound of the formula (I) for use according to any one of claims 1 to 22, wherein the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically, non-small Cell lung cancer), colorectal cancer, melanoma, pancreatic cancer are associated with bone metastasis. 如請求項1至22中任一項使用之式(I)化合物,其中該過度增殖及/或血管生成病症係具有PTEN喪失或PIK3CA突變及KRAS野生型之局部晚期或轉移性子宮內膜或乳癌或緩慢進展非何傑金氏淋巴瘤(indolent non-Hodgkin’s lymphoma,iNHL)。 A compound of formula (I), as used in any one of claims 1 to 22, wherein the hyperproliferative and/or angiogenic disorder has a PTEN loss or a PIK3CA mutation and a locally advanced or metastatic endometrial or breast cancer of the KRAS wild type Or indolent non-Hodgkin's lymphoma (iNHL). 一種如請求項1至7中任一項之式(I)化合物之用途,其用於製造用以預防或治療過度增殖及/或血管生成病症之醫藥,其中在每一投與循環中將該式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物投與1至5天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 Use of a compound of formula (I) according to any one of claims 1 to 7 for the manufacture of a medicament for preventing or treating a hyperproliferative and/or angiogenic disorder, wherein in each administration cycle A compound of formula (I), or a stereoisomer, tautomer, N-oxide, hydrate, solvate or salt thereof, or a mixture thereof, is administered for a period of from 1 to 5 days, followed by a period of from 3 to 6 days. The compound of formula (I) is administered or a placebo is administered. 如請求項28之式(I)化合物之用途,其中在每一投與循環中將該式(I)化合物投與1天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The use of the compound of the formula (I) of claim 28, wherein the compound of the formula (I) is administered for a period of one day in each administration cycle, and then the formula is not administered for a period of from 3 to 6 days ( I) Compound or placebo. 如請求項28之式(I)化合物之用途,其中在每一投與循環中將該 式(I)化合物投與2天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The use of a compound of formula (I) of claim 28, wherein in each of the administration cycles The compound of formula (I) is administered for a period of 2 days, followed by administration of the compound of formula (I) or administration of a placebo over a period of 3 to 6 days. 如請求項28之式(I)化合物之用途,其中在每一投與循環中將該式(I)化合物投與3天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The use of a compound of the formula (I) of claim 28, wherein the compound of the formula (I) is administered for a period of 3 days in each administration cycle, and then the formula is not administered for a period of 3 to 6 days ( I) Compound or placebo. 如請求項28之式(I)化合物之用途,其中在每一投與循環中將該式(I)化合物投與4天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The use of the compound of the formula (I) of claim 28, wherein the compound of the formula (I) is administered for a period of 4 days in each administration cycle, and then the formula is not administered for a period of 3 to 6 days ( I) Compound or placebo. 如請求項28之式(I)化合物之用途,其中在每一投與循環中將該式(I)化合物投與5天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The use of the compound of the formula (I) of claim 28, wherein the compound of the formula (I) is administered for a period of 5 days in each administration cycle, and then the formula is not administered for a period of 3 to 6 days ( I) Compound or placebo. 如請求項28至33中任一項之式(I)化合物之用途,其中該投與循環係實施1次、2次、3次或4次。 The use of a compound of formula (I) according to any one of claims 28 to 33, wherein the administration cycle is carried out once, twice, three times or four times. 如請求項28至33中任一項之式(I)化合物之用途,其中該投與循環係實施1次、2次、3次或4次,隨後在4至8天之中斷時段中不投與該式(I)化合物。 The use of the compound of the formula (I) according to any one of claims 28 to 33, wherein the administration cycle is carried out once, twice, three times or four times, and then not in the interruption period of 4 to 8 days And the compound of formula (I). 如請求項28至35中任一項之式(I)化合物之用途,其中在每一投與循環中以約200mg至約1000mg之總量投與該式(I)化合物。 The use of a compound of formula (I) according to any one of claims 28 to 35, wherein the compound of formula (I) is administered in a total amount of from about 200 mg to about 1000 mg in each administration cycle. 如請求項28至36中任一項之式(I)化合物之用途,其中在每一投與循環中以約400mg至約800mg之總量投與該式(I)化合物。 The use of a compound of formula (I) according to any one of claims 28 to 36, wherein the compound of formula (I) is administered in a total amount of from about 400 mg to about 800 mg in each administration cycle. 如請求項28至37中任一項之式(I)化合物之用途,其中該式(I)化合物係在投與其之日期以約50mg/天至約400mg/天之量投與。 The use of a compound of formula (I) according to any one of claims 28 to 37, wherein the compound of formula (I) is administered in an amount of from about 50 mg/day to about 400 mg/day on the date of administration. 如請求項28至38中任一項之式(I)化合物之用途,其中該式(I)化合物係在投與其之日期以約100mg/天至約400mg/天之量投與。 The use of a compound of formula (I) according to any one of claims 28 to 38, wherein the compound of formula (I) is administered in an amount of from about 100 mg/day to about 400 mg/day on the date of administration. 如請求項28至39中任一項之式(I)化合物之用途,該化合物係與一或多種選自以下之其他活性成份組合:紫杉烷,例如多西他 賽、太平洋紫杉醇或紫杉醇;埃博黴素,例如伊沙匹隆、帕土匹隆或沙戈匹隆;米托蒽醌;潑尼松龍;地塞米松;雌莫司汀;長春鹼;長春新鹼;多柔比星;阿黴素;伊達比星;道諾黴素;博來黴素;依託泊苷;環磷醯胺;異環磷醯胺;丙卡巴肼;美法侖;5-氟尿嘧啶;卡培他濱;氟達拉濱;阿糖胞苷;Ara-C;2-氯-2'-去氧腺苷;硫鳥嘌呤;抗雄激素,例如氟他胺、乙酸環丙孕酮或比卡魯胺;硼替佐米;鉑衍生物,例如順鉑或卡鉑;苯丁酸氮芥;甲胺蝶呤;利妥昔單抗;及鹼土放射性核種鐳-223之醫藥上可接受之鹽。 The use of a compound of formula (I) according to any one of claims 28 to 39, in combination with one or more other active ingredients selected from the group consisting of taxanes such as docetaxel Race, paclitaxel or paclitaxel; epothilones, such as ixabepilone, paclipirone or sagopirone; mitoxantrone; prednisolone; dexamethasone; estramustine; vinblastine; Vincristine; doxorubicin; doxorubicin; idarubicin; daunorubicin; bleomycin; etoposide; cyclophosphamide; ifosfamide; procarbazine; melphalan; 5-fluorouracil; capecitabine; fludarabine; cytarabine; Ara-C; 2-chloro-2'-deoxyadenosine; thioguanine; antiandrogen, such as flutamide, acetate ring Progesterone or bicalutamide; bortezomib; platinum derivatives such as cisplatin or carboplatin; chlorambucil; methotrexate; rituximab; and alkaline earth radioactive radium-223 Acceptable salt. 如請求項28至40中任一項之式(I)化合物之用途,該化合物係與選自以下之抗過度增殖劑、細胞毒性劑及細胞生長抑制劑組合:5-FU或5-FU之前藥,例如5'-去氧-5-氟尿苷、卡培他濱、BOF-A2、替加氟、UFT或S-1;基於鉑之抗腫瘤劑,例如奧沙利鉑、順鉑或卡鉑;及紫杉烷,例如多西他賽或太平洋紫杉醇;或其組合。 The use of a compound of formula (I) according to any one of claims 28 to 40, in combination with an anti-hyperproliferative, cytotoxic and cytostatic agent selected from the group consisting of 5-FU or 5-FU Drugs such as 5'-deoxy-5-fluorouridine, capecitabine, BOF-A2, tegafur, UFT or S-1; platinum-based antitumor agents such as oxaliplatin, cisplatin or Carboplatin; and a taxane such as docetaxel or paclitaxel; or a combination thereof. 如請求項28至41中任一項之式(I)化合物之用途,該化合物係與該鹼土放射性核種鐳-223之醫藥上可接受之鹽、例如二氯化鐳-223組合。 The use of a compound of formula (I) according to any one of claims 28 to 41, in combination with a pharmaceutically acceptable salt of the alkaline earth radioactive seed radium-223, such as radium dichloride-223. 如請求項28至42中任一項之式(I)化合物之用途,其中該式(I)化合物係與該其他一或多種其他活性成份同時、伴隨、單獨或依序投與。 The use of a compound of formula (I) according to any one of claims 28 to 42, wherein the compound of formula (I) is administered simultaneously, concomitantly, separately or sequentially with the other one or more other active ingredients. 如請求項28至42中任一項之式(I)化合物之用途,其中該過度增殖及/或血管生成病症係失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病,更具體而言由磷脂醯肌醇-3-激酶(PI3K)路徑介導之病症,甚至更具體而言係血液腫瘤、實體腫瘤及/或其轉移,例如白血病及脊髓發育不良 症候群、惡性淋巴瘤、頭頸部腫瘤(包括腦瘤及腦轉移)、胸部腫瘤(包括非小細胞及小細胞肺腫瘤)、胃腸道腫瘤、內分泌腫瘤、乳房及其他婦科腫瘤、泌尿系統腫瘤(包括腎腫瘤、膀胱腫瘤及前列腺腫瘤)、皮膚腫瘤及肉瘤及/或其轉移。 The use of a compound of formula (I) according to any one of claims 28 to 42, wherein the hyperproliferative and/or angiogenic disorder is uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cells An inflammatory response, more specifically a condition mediated by the phospholipid inositol-3-kinase (PI3K) pathway, and even more specifically a hematological tumor, a solid tumor, and/or its metastasis, such as leukemia and myelodysplasia Syndrome, malignant lymphoma, head and neck tumors (including brain tumors and brain metastases), chest tumors (including non-small cell and small cell lung tumors), gastrointestinal tumors, endocrine tumors, breast and other gynecological tumors, urological tumors (including Kidney tumors, bladder tumors and prostate tumors), skin tumors and sarcomas and/or their metastases. 如請求項28至42中任一項之式(I)化合物之用途,其中該過度增殖及/或血管生成病症係胃癌。 The use of a compound of formula (I) according to any one of claims 28 to 42, wherein the hyperproliferative and/or angiogenic disorder is gastric cancer. 如請求項28至42中任一項之式(I)化合物之用途,其中該過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌及/或其轉移。 The use of a compound of formula (I) according to any one of claims 28 to 42, wherein the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically Small cell lung cancer), colorectal cancer, melanoma, pancreatic cancer, and/or its metastasis. 如請求項28至42中任一項之式(I)化合物之用途,其中該過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌伴隨骨轉移。 The use of a compound of formula (I) according to any one of claims 28 to 42, wherein the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically Small cell lung cancer), colorectal cancer, melanoma, pancreatic cancer with bone metastasis. 如請求項28至42中任一項之式(I)化合物之用途,其中該過度增殖及/或血管生成病症係具有PTEN喪失或PIK3CA突變及KRAS野生型之局部晚期或轉移性子宮內膜或乳癌或緩慢進展非何傑金氏淋巴瘤(iNHL)。 The use of a compound of formula (I) according to any one of claims 28 to 42, wherein the hyperproliferative and/or angiogenic disorder has a PTEN loss or a PIK3CA mutation and a locally advanced or metastatic endometrium of the KRAS wild type or Breast cancer or slow progression of non-Hodgkin's lymphoma (iNHL). 一種預防或治療過度增殖及/或血管生成病症之方法,其包含在每一投與循環中向罹患該病症之患者投與如請求項1至7之式(I)化合物或其立體異構物、互變異構物、N-氧化物、水合物、溶劑合物或鹽或其混合物達1至5天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 A method of preventing or treating a hyperproliferative and/or angiogenic disorder comprising administering a compound of formula (I), or a stereoisomer thereof, according to claims 1 to 7 to a patient suffering from the disorder in each administration cycle a tautomer, an N-oxide, a hydrate, a solvate or a salt or a mixture thereof for a period of from 1 to 5 days, followed by not administering the compound of formula (I) or for a period of from 3 to 6 days With placebo. 如請求項49之方法,其中在每一投與循環中將該式(I)化合物投與1天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The method of claim 49, wherein the compound of formula (I) is administered for a period of one day in each administration cycle, and then the compound of formula (I) is not administered or administered over a period of from 3 to 6 days. Placebo. 如請求項49之方法,其中在每一投與循環中將該式(I)化合物投與2天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The method of claim 49, wherein the compound of formula (I) is administered for a period of 2 days in each administration cycle, followed by not administering the compound of formula (I) or administering for a period of 3 to 6 days. Placebo. 如請求項49之方法,其中在每一投與循環中將該式(I)化合物投與3天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The method of claim 49, wherein the compound of formula (I) is administered for a period of 3 days in each administration cycle, followed by not administering the compound of formula (I) or administering for a period of 3 to 6 days. Placebo. 如請求項49之方法,其中在每一投與循環中將該式(I)化合物投與4天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The method of claim 49, wherein the compound of formula (I) is administered for a period of 4 days in each administration cycle, followed by not administering the compound of formula (I) or administering for a period of 3 to 6 days. Placebo. 如請求項49之方法,其中在每一投與循環中將該式(I)化合物投與5天之時段,隨後在3至6天之時段中不投與該式(I)化合物或投與安慰劑。 The method of claim 49, wherein the compound of formula (I) is administered for a period of 5 days in each administration cycle, followed by not administering the compound of formula (I) or administering for a period of 3 to 6 days Placebo. 如請求項49至54中任一項之方法,其中該投與循環係實施1次、2次、3次或4次。 The method of any one of claims 49 to 54, wherein the administration cycle is performed once, twice, three times or four times. 如請求項49至54中任一項之方法,其中該投與循環係實施1次、2次、3次或4次,隨後在4至8天之中斷時段中不投與該式(I)化合物。 The method of any one of claims 49 to 54, wherein the administration cycle is performed once, twice, three times or four times, and then the formula (I) is not administered during the interruption period of 4 to 8 days Compound. 如請求項49至56中任一項之方法,其中在每一投與循環中以約200mg至約1000mg之總量投與該式(I)化合物。 The method of any one of claims 49 to 56, wherein the compound of formula (I) is administered in a total amount of from about 200 mg to about 1000 mg in each administration cycle. 如請求項49至57中任一項之方法,其中在每一投與循環中以約400mg至約800mg之總量投與該式(I)化合物。 The method of any one of claims 49 to 57, wherein the compound of formula (I) is administered in a total amount of from about 400 mg to about 800 mg in each administration cycle. 如請求項49至58中任一項之方法,其中該式(I)化合物係在投與其之日期以約50mg至約400mg/天之量投與。 The method of any one of claims 49 to 58, wherein the compound of formula (I) is administered in an amount of from about 50 mg to about 400 mg per day on the date of administration. 如請求項49至59中任一項之方法,其中該式(I)化合物係在投與其之日期以約100mg至約400mg/天之量投與。 The method of any one of claims 49 to 59, wherein the compound of formula (I) is administered in an amount of from about 100 mg to about 400 mg per day on the date of administration. 如請求項49至60中任一項之方法,其中該式(I)化合物係與一或 多種選自以下之其他活性成份組合投與:紫杉烷,例如多西他賽、太平洋紫杉醇或紫杉醇;埃博黴素,例如伊沙匹隆、帕土匹隆或沙戈匹隆;米托蒽醌;潑尼松龍;地塞米松;雌莫司汀;長春鹼;長春新鹼;多柔比星;阿黴素;伊達比星;道諾黴素;博來黴素;依託泊苷;環磷醯胺;異環磷醯胺;丙卡巴肼;美法侖;5-氟尿嘧啶;卡培他濱;氟達拉濱;阿糖胞苷;Ara-C;2-氯-2'-去氧腺苷;硫鳥嘌呤;抗雄激素,例如氟他胺、乙酸環丙孕酮或比卡魯胺;硼替佐米;鉑衍生物,例如順鉑或卡鉑;苯丁酸氮芥;甲胺蝶呤;利妥昔單抗;及鹼土放射性核種鐳-223之醫藥上可接受之鹽。 The method of any one of claims 49 to 60, wherein the compound of formula (I) is associated with one or A combination of other active ingredients selected from the group consisting of taxanes such as docetaxel, paclitaxel or paclitaxel; epothilones such as ixabepilone, paclipirone or chagopiride;泼;prednisolone; dexamethasone; estramustine; vinblastine; vincristine; doxorubicin; doxorubicin; idarubicin; daunorubicin; bleomycin; etoposide Cyclophosphamide; ifosfamide; procarbazine; melphalan; 5-fluorouracil; capecitabine; fludarabine; cytarabine; Ara-C; 2-chloro-2'- Deoxyadenosine; thioguanine; antiandrogen, such as flutamide, cyproterone acetate or bicalutamide; bortezomib; platinum derivative, such as cisplatin or carboplatin; chlorambucil; Methotrexate; rituximab; and a pharmaceutically acceptable salt of an alkaline earth radioactive seed radium-223. 如請求項49至60中任一項之方法,其中該式(I)化合物係與選自以下之抗過度增殖劑、細胞毒性劑及細胞生長抑制劑組合投與:5-FU或5-FU之前藥,例如5'-去氧-5-氟尿苷、卡培他濱、BOF-A2、替加氟、UFT或S-1;基於鉑之抗腫瘤劑,例如奧沙利鉑、順鉑或卡鉑;及紫杉烷,例如多西他賽或太平洋紫杉醇;或其組合。 The method of any one of claims 49 to 60, wherein the compound of formula (I) is administered in combination with an anti-hyperproliferative agent, a cytotoxic agent and a cytostatic agent selected from the group consisting of 5-FU or 5-FU Prodrugs such as 5'-deoxy-5-fluorouridine, capecitabine, BOF-A2, tegafur, UFT or S-1; platinum-based antitumor agents, such as oxaliplatin, cisplatin Or carboplatin; and a taxane such as docetaxel or paclitaxel; or a combination thereof. 如請求項49至60中任一項之方法,其中該式(I)化合物係與該鹼土放射性核種鐳-223之醫藥上可接受之鹽、例如二氯化鐳-223組合投與。 The method of any one of claims 49 to 60, wherein the compound of formula (I) is administered in combination with a pharmaceutically acceptable salt of the alkaline earth radioactive seed radium-223, such as radium dichloride-223. 如請求項49至63中任一項之方法,其中該式(I)化合物係與該其他一或多種其他活性成份同時、伴隨、單獨或依序投與。 The method of any one of claims 49 to 63, wherein the compound of formula (I) is administered simultaneously, concomitantly, separately or sequentially with the other one or more other active ingredients. 如請求項49至64中任一項之方法,其中該過度增殖及/或血管生成病症係失控性細胞生長、增殖及/或存活、不適當細胞免疫反應或不適當細胞發炎反應之疾病,更具體而言由磷脂醯肌醇-3-激酶(PI3K)路徑介導之病症,甚至更具體而言係血液腫瘤、實體腫瘤及/或其轉移,例如白血病及脊髓發育不良症候群、惡性淋 巴瘤、頭頸部腫瘤(包括腦瘤及腦轉移)、胸部腫瘤(包括非小細胞及小細胞肺腫瘤)、胃腸道腫瘤、內分泌腫瘤、乳房及其他婦科腫瘤、泌尿系統腫瘤(包括腎腫瘤、膀胱腫瘤及前列腺腫瘤)、皮膚腫瘤及肉瘤及/或其轉移。 The method of any one of claims 49 to 64, wherein the hyperproliferative and/or angiogenic disorder is a disease of uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response or inappropriate cellular inflammatory response, Specifically, a condition mediated by the phospholipid inositol-3-kinase (PI3K) pathway, even more specifically a hematological tumor, a solid tumor, and/or a metastasis thereof, such as leukemia and myelodysplastic syndrome, malignant lymphoid Baroma, head and neck tumors (including brain tumors and brain metastases), chest tumors (including non-small cell and small cell lung tumors), gastrointestinal tumors, endocrine tumors, breast and other gynecological tumors, urological tumors (including kidney tumors, Bladder tumors and prostate tumors, skin tumors and sarcomas and/or their metastases. 如請求項49至64中任一項之方法,其中該過度增殖及/或血管生成病症係胃癌。 The method of any one of claims 49 to 64, wherein the hyperproliferative and/or angiogenic disorder is gastric cancer. 如請求項49至64中任一項之方法,其中該過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌及/或其轉移。 The method of any one of claims 49 to 64, wherein the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically, non-small cell lung cancer), colon Rectal cancer, melanoma, pancreatic cancer and/or its metastasis. 如請求項49至64中任一項之方法,其中該過度增殖及/或血管生成病症係乳癌、前列腺癌、多發性骨髓瘤、肝細胞癌、肺癌(具體而言非小細胞肺癌)、結腸直腸癌、黑色素瘤、胰臟癌伴隨骨轉移。 The method of any one of claims 49 to 64, wherein the hyperproliferative and/or angiogenic disorder is breast cancer, prostate cancer, multiple myeloma, hepatocellular carcinoma, lung cancer (specifically, non-small cell lung cancer), colon Rectal cancer, melanoma, and pancreatic cancer are associated with bone metastasis. 如請求項49至64中任一項之方法,其中該過度增殖及/或血管生成病症係具有PTEN喪失或PIK3CA突變及KRAS野生型之局部晚期或轉移性子宮內膜或乳癌或緩慢進展非何傑金氏淋巴瘤(iNHL)。 The method of any one of claims 49 to 64, wherein the hyperproliferative and/or angiogenic disorder has a PTEN loss or a PIK3CA mutation and a locally advanced or metastatic endometrial or breast cancer of the KRAS wild type or a slow progression Jajin's lymphoma (iNHL).
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