The present invention provides convergent processes for preparing epothilone A and B, desoxyepothilones A and B, and analogues thereof. Also provided are analogues related to epothilone A and B and intermediates useful for preparing same. The present invention further provides novel compositions based on analogues of the epothilones and methods for the treatment of cancer and cancer which has developed a multidrug-resistant phenotype.

Patent
   RE41990
Priority
Dec 03 1996
Filed
Jan 04 2007
Issued
Dec 07 2010
Expiry
Dec 03 2017
Assg.orig
Entity
Large
1
271
all paid
7. A purified compound having the structure: ##STR00068##
wherein R1 is H, or linear or branched chain alkyl, which alkyl may be singly or multiply substituted by hydroxy, substituted or unsubstituted alkoxy, substituted or unsubstituted carboxy, carboxaldehyde, substituted or unsubstituted, linear or branched alkyl, substituted or unsubstituted cyclic acetal, fluorine, NR4R5, N-hydroximino, or N-alkoxyimino, wherein R4 and R5 are independently H, phenyl, benzyl, linear or branched chain alkyl,
wherein R1 is other than H, methyl, ethyl, n-propyl, n-hexyl, CH2OH, (CH2)3OH, or ##STR00069##
59. A method for treating cancer in a subject comprising:
administering to a subject a therapeutically effective amount of a compound having the structure: ##STR00094##
wherein R1 is H, or linear or branched chain alkyl, which alkyl may be singly or multiply substituted by hydroxy, substituted or unsubstituted alkoxy, substituted or unsubstituted carboxy, carboxaldehyde, substituted or unsubstituted, linear or branched alkyl, substituted or unsubstituted cyclic acetal, fluorine, NR4R5, N-hydroximino, or N-alkoxyimino, wherein R4 and R5 are independently H, phenyl, benzyl, linear or branched chain alkyl,
said method optionally further comprising administering a cytotoxic agent.
30. A pharmaceutical composition comprising:
a compound having the structure: ##STR00081##
wherein R1 is H, or linear or branched chain alkyl, which alkyl may be singly or multiply substituted by hydroxy, substituted or unsubstituted alkoxy, substituted or unsubstituted carboxy, carboxaldehyde, substituted or unsubstituted, linear or branched alkyl, substituted or unsubstituted cyclic acetal, fluorine, NR4R5, N-hydroximino, or N-alkoxyimino, wherein R4 and R5 are independently H, phenyl, benzyl, linear or branched chain alkyl,
wherein R1 is other than H, methyl, ethyl, n-propyl, n-hexyl, CH2OH, (CH2)3OH, or ##STR00082##
 and
a pharmaceutically acceptable carrier,
said composition optionally further comprising a cytotoxic agent.
1. A purified compound having the a structure: ##STR00064##
or a compound having the structure: ##STR00065##
wherein R1, R2, and R3 are each independently H, or linear or branched chain alkyl, which alkyl may be singly or multiply substituted by hydroxy, substituted or unsubstituted alkoxy, substituted or unsubstituted carboxy, carboxaldehyde, substituted or unsubstituted, linear or branched alkyl, substituted or unsubstituted cyclic acetal, fluorine, NR4R5, N-hydroximino, or N-alkoxyimino, wherein R4 and R5 are independendy H, phenyl, benzyl, linear or branched chain alkyl;
R″ is —CY═CHX, or H, linear or branched chain alkyl, phenyl, or 2-methyl-1,3-thiazol-4-yl, wherein X is H, linear or branched chain alkyl, phenyl, or 2-methyl-1,3-thiazol-4-yl, and Y is H or linear or branched chain alkyl;
Z is O, N(OR6) or N—NR7R8, wherein R6, R7 and R8 are independently H or a linear or branched chain alkyl or alkoxy; and
n is 0, 1, 2, or 3; wherein when the compound is of the formula: ##STR00066##
R1 is other than H, methyl, ethyl, n-propyl, n-hexyl, CH2OH, (CH2)3OH, or ##STR00067##
53. A method of treating cancer in a subject comprising:
administering to the subject a therapeutically effective amount of a compound having the structure: ##STR00092##
or a compound having the structure: ##STR00093##
wherein R1, R2, and R3 are each independently H, or linear or branched chain alkyl, which alkyl may be singly or multiply substituted by hydroxy, substituted or unsubstituted alkoxy, substituted or unsubstituted carboxy, carboxaldehyde, substituted or unsubstituted, linear or branched alkyl, substituted or unsubstituted cyclic acetal, fluorine, NR4R5, N-hydroximino, or N-alkoxyimino, wherein R4 and R5 are independently H, phenyl, benzyl, linear or branched chain alkyl;
R″ is —CY═CHX, or H, linear or branched chain alkyl, phenyl, or 2-methyl-1,3-thiazol-4-yl, wherein X is H, linear or branched chain alkyl, phenyl, or 2-methyl-1,3-thiazol-4-yl, and Y is H or linear or branched chain alkyl;
Z is O, N(OR6) or N—NR7R8, wherein R6, R7 and R8 are independently H or a linear or branched chain alkyl or alkoxy; and
n is 0, 1, 2, or 3,
said method optionally further comprising administering a cytotoxic agent.
24. A pharmaceutical composition comprising:
a compound having a structure: ##STR00077##
or a compound having a structure: ##STR00078##
wherein R1, R2, and R3 are each independantly H, or linear or branched chain alkyl, which alkyl may be singly or multiply substituted by hydroxy, substituted or unsubstituted alkoxy, substituted or unsubstituted carboxy, carboxaldehyde, substituted or unsubstituted, linear or branched alkyl, substituted or unsubstituted cyclic acetal, fluorine, NR4R5, N-hydroximino, or N-alkoxyimino, wherein R4 and R5 are independently H, phenyl, benzyl, linear or branched chain alkyl;
R″ is —CY═CHX, or H, linear or branched chain alkyl, phenyl, or 2-methyl-1,3-thiazol-4-yl, wherein X is H, linear or branched chain alkyl, phenyl, or 2-methyl-1,3-thiazol-4-yl, and Y is H or linear or branched chain alkyl;
Z is O, N(OR6) or N—NR7R8, wherein R6, R7 and R8 are independently H or a linear or branched chain alkyl or alkoxy; and
n is 0, 1, 2, or 3; and
wherein when the compound is of the formula: ##STR00079##
R1 is other than H, methyl, ethyl, n-propyl, n-hexyl, CH2OH, (CH2)3OH, or ##STR00080##
and
a pharmaceutically acceptable carrier,
said composition optionally further comprising a cytotoxic agent.
2. The compound of claim 1, wherein R1=hydrogen, methyl, ethyl, propyl, hexyl, 2-(1,3-dioxolanyl)methyl, hydroxymethyl or hydroxypropyl.
3. The compound of claim 1, wherein Z═O.
4. The compound of claim 1, wherein R2 is hydrogen, and R3 is methyl.
5. The compound of claim 1, wherein n=3.
6. The compound of claim 1, wherein R″ is —CY═CHX, and X is 2-methyl-1,3-thiazol-4-yl, and Y is H.
8. The compound of claim 7, wherein R1 is substituted or unsubstituted, linear or branched chain alkyl.
9. The compound of claim 7, wherein R1 is linear or branched chain alkyl, optionally substituted by hydroxy, fluorine, cyclic acetal, or NR4R5, wherein R4 and R5 are independently H, phenyl, benzyl, or linear or branched chain alkyl.
10. The compound of claim 7, wherein R1 is linear or branched chain alkyl substituted by fluorine.
11. The compound of claim 7, wherein R1 is linear or branched chain alkyl substituted by hydroxy.
12. The compound of claim 7, wherein R1 is linear or branched chain alkyl substituted by NR4R5, wherein R4 and R5 are independently H, phenyl, benzyl, or linear or branched chain alkyl.
13. The compound of claim 7, wherein R1 is linear or branched chain alkyl substituted by cyclic acetal.
14. The compound of claim 7, wherein R1 is linear or branched chain alkyl substituted by a substituted carboxy group.
0. 15. The compound of claim 7, wherein R1 is ethyl, and the compound has the structure: ##STR00070##
0. 16. The compound of claim 7, wherein R1 is propyl and the compound has the structure: ##STR00071##
0. 17. The compound of claim 7, wherein R1 is hexyl and the compound has the structure: ##STR00072##
0. 18. The compound of claim 7, wherein R1 is 2-(1,3--dioxolanyl)methyl and the compound has the structure: ##STR00073##
0. 19. The compound of claim 7, wherein R1 is hydroxymethyl and the compound has the structure: ##STR00074##
0. 20. The compound of claim 7, wherein R1 is hydroxypropyl and the compound has the structure: ##STR00075##
21. The compound of claim 7, wherein R1 is a linear or branched chain alkyl substituted by aroyloxy.
22. The compound of claim 7, wherein R1 is a linear or branched chain alkyl substituted by substituted or unsubstituted benzoyloxy.
23. The compound of claim 7, wherein R1 is a propyl group substituted by benzoyloxy, and the compound has the structure: ##STR00076##
25. The compound of claim 24, wherein R1=hydrogen, methyl, ethyl, propyl, hexyl, 2-(1,3-dioxolanyl)methyl, hydroxymethyl or hydroxypropyl.
26. The pharmaceutical composition of claim 24, wherein in the compound Z═O.
27. The pharmaceutical composition of claim 24, wherein in the compound R2 is hydrogen, and R3 is methyl.
28. The pharmaceutical composition of claim 24, wherein in the compound n=3.
29. The pharmaceutical composition of claim 24, wherein in the compound R″ is —CY═CHX, and X is 2-methyl-1,3-thiazol-4-yl, and Y is H.
31. The pharmaceutical composition of claim 30, wherein in the compound R1 is substituted or unsubstituted, linear or branched chain alkyl.
32. The pharmaceutical composition of claim 30, wherein in the compound R1 is linear or branched chain alkyl, optionally substituted by hydroxy, fluorine, cyclic acetal, or NR4R5, wherein R4 and R5 are independently H, phenyl, benzyl, or linear or branched chain alkyl.
33. The pharmaceutical composition of claim 30, wherein in the compound R1 is linear or branched chain alkyl substituted by fluorine.
34. The pharmaceutical composition of claim 30, wherein in the compound R1 is linear or branched chain alkyl substituted by hydroxy.
35. The pharmaceutical composition of claim 30, wherein in the compound R1 is linear or branched chain alkyl substituted by NR4R5, wherein R4 and R5 are independently H, phenyl, benzyl, or linear or branched chain alkyl.
36. The pharmaceutical composition of claim 30, wherein in the compound R1 is linear or branched chain alkyl substituted by cyclic acetal.
37. The pharmaceutical composition of claim 30, wherein in the compound R1 is linear or branched chain alkyl substituted by a substituted carboxy group.
0. 38. The pharmaceutical composition of claim 30, wherein in the compound R1 is hydrogen and the compound has the structure: ##STR00083##
0. 39. The pharmaceutical composition of claim 30, wherein in the compound R1 is methyl and the compound has the structure: ##STR00084##
0. 40. The pharmaceutical composition of claim 30, wherein in the compound R1 is ethyl and the compound has the structure: ##STR00085##
0. 41. The pharmaceutical composition of claim 30, wherein the compound R1 is propyl and the compound has the structure: ##STR00086##
0. 42. The pharmaceutical composition of claim 30, wherein in the compound R1 is hexyl and the compound has the structure: ##STR00087##
0. 43. The pharmaceutical composition of claim 38, wherein in the compound R1 is 2-(1,3-dioxolanyl)methyl and the compound has the structure: ##STR00088##
0. 44. The pharmaceutical composition of claim 30, wherein in the compound R1 is hydroxymethyl and the compound has the structure: ##STR00089##
0. 45. The pharmaceutical composition of claim 30, wherein in the compound R1 is hydroxypropyl and the compound has the structure: ##STR00090##
46. The pharmaceutical composition of claim 30, wherein in the compound R1 is a linear or branched chain alkyl substituted by aroyloxy.
47. The pharmaceutical composition of claim 30, wherein in the compound R1 is a linear or branched chain alkyl substituted by substituted or unsubstituted benzoyloxy.
48. The pharmaceutical composition of claim 30, wherein in the compound R1 is a propyl group substituted by benzoyloxy, and the compound has the structure: ##STR00091##
49. The pharmaceutical composition of claim 24 or 30, wherein the cytotoxic agent is an anticancer agent.
50. The pharmaceutical composition of claim 49, wherein the anticancer agent is adnamycin adriamycin.
51. The pharmaceutical composition of claim 49, wherein the anticancer agent is vinblastin.
52. The pharmaceutical composition of claim 49, wherein the anticancer agent is paclitaxel.
54. The method of claim 53, wherein in the compound R1=hydrogen, methyl, ethyl, propyl, hexyl, 2-(1,3-dioxolanyl)methyl, hydroxymethyl or hydroxypropyl.
55. The method of claim 53, wherein in the compound Z═O.
56. The method of claim 53, wherein in the compound R2 is hydrogen, and R3 is methyl.
57. The method of claim 53, wherein in the compound n=3.
58. The method of claim 53, wherein in the compound R″ is —CY═CHX, and X is 2-methyl-1,3-thiazol-4-yl, and Y is H.
60. The method of claim 59, wherein in the compound R1 is substituted or unsubstituted, linear or branched chain alkyl.
61. The method of claim 59, wherein in the compound R1 is linear or branched chain alkyl, optionally substituted by hydroxy, fluorine, cyclic acetal, or NR4R5, wherein R4 and R5 are independently H, phenyl, benzyl, or linear or branched chain alkyl.
62. The method of claim 59, wherein in the compound R1 is linear or branched chain alkyl substituted by fluorine.
63. The method of claim 59, wherein in the compound R1 is linear or branched chain alkyl substituted by hydroxy.
64. The method of claim 59, wherein in the compound R1 is linear or branched chain alkyl substituted by NR4R5, wherein R4 and R5 are independently H, phenyl, benzyl, or linear or branched chain alkyl.
65. The method of claim 59, wherein in the compound R1 is linear or branched chain alkyl substituted by cyclic acetal.
66. The method of claim 59, wherein in the compound R1 is linear or branched chain alkyl substituted by a substituted carboxy group.
67. The method of claim 59, wherein in the compound R1 is hydrogen and the compound has the structure: ##STR00095##
68. The method of claim 59, wherein in the compound R1 is methyl and the compound has the structure: ##STR00096##
69. The method of claim 59, wherein in the compound R1 is ethyl and the compound has the structure: ##STR00097##
70. The method of claim 59, wherein in the compound R1 is propyl and the compound has the structure: ##STR00098##
71. The method of claim 59, wherein in the compound R1 is hexyl and the compound has the structure: ##STR00099##
72. The method of claim 59, wherein in the compound R1 is 2-(1,3-dioxolanyl)methyl and the compound has the structure: ##STR00100##
73. The method of claim 59, wherein in the compound R1 is hydroxymethyl and the compound has the structure: ##STR00101##
74. The method of claim 59, wherein in the compound R1 is hydroxypropyl and the compound has the structure: ##STR00102##
75. The method of claim 59, wherein in the compound R1 is a linear or branched chain alkyl substituted by aroyloxy.
76. The method of claim 59, wherein in the compound R1 is a linear or branched chain alkyl substituted by substituted or unsubstituted benzoyloxy.
77. The method of claim 59, wherein in the compound R1 is a propyl group substituted by benzoyloxy, and the compound has the structure: ##STR00103##
78. The method of claim 53 or 59, wherein the method further comprises administering a cytotoxic agent, wherein said cytotoxic agent is an anticancer agent.
79. The method of claim 78, wherein the anticancer agent administered is adriamycin.
80. The method of claim 78, wherein the anticancer agent administered is vinblastin.
81. The method of claim 78, wherein the anticancer agent administered is paclitaxel.
82. The method of claim 53 or 59, wherein the cancer is a solid tumor.
83. The method of claim 53 or 59, wherein the cancer is breast cancer, melanoma, leukemia or ovarian cancer.
84. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.001 mg/kg to about 40 mg/kg of body weight.
85. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.01 mg/kg to about 40 mg/kg of body weight.
86. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.001 mg/kg to about 25 mg/kg of body weight.
87. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.01 mg/kg to about 25 mg/kg of body weight.
88. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.001 mg/kg to about 10 mg/kg of body weight.
89. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.01 mg/kg to about 10 mg/kg of body weight.
90. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.001 mg/kg to about 1.0 mg/kg of body weight.
91. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 0.01 mg/kg to about 1.0 mg/kg of body weight.
92. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is 25 mg/kg or greater of body weight.
93. The method of claim 53 or 59, wherein the therapeutically effective amount of the compound is between about 25 mg/kg to about 40 mg/kg of body weight.

This application is a continuation application filed under 37 C.F.R. §1.53(b) of application Ser. No. 08/986,025, filed Dec. 3, 1997 now U.S. Pat. No. 6,242,469, the entire contents of which are hereby incorporated by reference, which is based on U.S. Provisional Application Serial Nos. 60/032,282, 60/033,767, 60/047,566, 60/047,941, and 60/055,533, filed Dec. 3, 1996, Jan. 14, 1997, May 22, 1997, May 29, 1997, and Aug. 13, 1997, respectively, the contents of which are hereby incorporated by reference into this application.

This invention was made with government support under grants CA-28824, CA-39821, CA-GM 72231, CA-62948, and AI0-9355 from the National Institutes of Health, and grant CHE-9504805 from the National Science Foundation. Additionally, the present invention was supported in part by a fellowship from the United States Army to Dongfang Meng (DAMD 17-97-1-7146), and thus the government has certain rights in the invention.

The present invention is in the field of epothilone macrolides. In particular, the present invention relates to processes for the preparation of epothilones A and B, desoxyepothilones A and B, and analogues thereof which are useful as highly specific, non-toxic anticancer therapeutics. In addition, the invention provides methods of inhibiting multidrug resistant cells. The present invention also provides novel compositions of matter which serve as intermediates for preparing the epothilones.

Throughout this application, various publications are referred to, each of which is hereby incorporated by reference in its entirety into this application to more fully describe the state of the art to which the invention pertains.

Epothilones A and B are highly active anticancer compounds isolated from the Myxobacteria of the genus Sorangium. The full structures of these compounds, arising from an x-ray crystallographic analysis were determined by Höfle. G. Höfle et al., Angew. Chem. Int. Ed. Engl., 1996, 35, 1567. The total synthesis of the epothilones is an important goal for several reasons. Taxol is already a useful resource in chemotherapy against ovarian and breast cancer and its range of clinical applicability is expanding. G. I. Georg et al., Taxane Anticancer Agents; American Cancer Society: San Diego, 1995. The mechanism of the cytotoxic action of taxol, at least at the in vitro level, involves stabilization of microtubule assemblies. P. B. Schiff et al., Nature (London), 1979, 277, 665. A series of complementary in vitro investigations with the epothilones indicated that they share the mechanistic theme of the taxoids, possibly down to the binding sites to their protein target. D. M. Bollag et al., Cancer Res., 1995, 55, 2325. Moreover, the epothilones surpass taxol in terms of cytotoxicity and far surpass it in terms of in vitro efficacy against drug resistant cells. Since multiple drug resistance (MDR) is one of the serious limitations of taxol (L. M. Landino and T. L. MacDonald in The Chemistry and Pharmacology of Taxol and its Derivatives, V. Farin, Ed., Elsevier: New York, 1995, ch. 7, p. 301), any agent which promises relief from this problem merits serious attention. Furthermore, formulating the epothilones for clinical use is more straightforward than taxol.

Accordingly, the present inventors undertook the total synthesis of the epothilones, and as a result, have developed efficient processes for synthesizing epothilones A and B, the corresponding desoxyepothilones, as well as analogues thereof. The present invention also provides novel intermediates useful in the synthesis of epothilones A and B and analogues thereof, compositions derived from such epothilones and analogues, purified compounds of epothilones A and B, and desoxyepothilones A and B, in addition to methods of use of the epothilone analogues in the treatment of cancer. Unexpectedly, certain epothilones have been found to be effective not only in reversing multi-drug resistance in cancer cells, both in vitro and in vivo, but have been determined to be active as collateral sensitive agents, which are more cytotoxic towards MDR cells than normal cells, and as synergistic agents, which are more active in combination with other cytotoxic agents, such as vinblastin, than the individual drugs would be alone at the same concentrations.

Remarkably, the desoxyepothilones of the invention have exceptionally high specificity as tumor cytotoxic agents in vivo, more effective and less toxic to normal cells than the principal chemotherapeutics currently in use, including taxol, vinblastin, adriamycin and camptothecin.

One object of the present invention is to provide processes for the preparation of epothilones A and B, and desoxyepothilones A and B, and related compounds useful as anticancer therapeutics. Another object of the present invention is to provide various compounds useful as intermediates in the preparation of epothilones A and B as well as analogues thereof.

A further object of the present invention is to provide synthetic methods for preparing such intermediates. An additional object of the invention is to provide compositions useful in the treatment of subjects suffering from cancer comprising any of the analogues of the epothilones available through the preparative methods of the invention optionally in combination with pharmaceutical carriers.

A further object of the invention is to provide methods of treating subjects suffering from cancer using any of the analogues of the epothilones available through the preparative methods of the invention optionally in combination with pharmaceutical carriers.

FIG. 1(A) shows a retrosynthetic analysis for epothilone A and B.

FIG. 1(B) provides synthesis of compound 11. (a) t-BuMe2OTf, 2,6-lutidine, CH2Cl2, 98%; (b) (1) DDQ, CH2Cl2/H2O, 89%; (2) (COCl)2, DMSO, CH2Cl2, −78° C.; then Et3N, −78° C.→rt, 90%; (c) MeOCH2PPh3Cl, t-BuOK, THF, 0° C.→rt, 86%; (d) (1) p-TsOH, dioxane/H2O, 50° C., 99%; (2) CH3PPh3Br, NaHMDS, PhCH3, 0° C.→rt, 76%; (e) Phl(OCOCF3)2, MeOH/THF, rt, 0.25 h, 92%.

FIG. 2 provides key intermediates in the preparation of 12,13-E- and -Z-deoxyepothilones.

FIGS. 3(A) and 3(B) provide syntheses of key iodinated intermediates used to prepare hydroxymethylene- and hydroxypropylene-substituted epothilone derivatives.

FIGS. 3(C) and 3(D) provide methods of preparing hydroxymethylene- and hydroxypropylene-substituted epothilone derivatives, said methods being useful generally to prepare 12,13-E epothilones wherein R is methyl, ethyl, n-propyl, and n-hexyl from the corresponding E-vinyl iodides.

FIGS. 3(E) and 3(F) show reactions leading to benzoylated hydroxymethyl-substituted desoxyepothilone and hydroxymethylene-substituted epothilone (epoxide).

FIG. 4(A) provides synthesis of compound 19. (a) DHP, PPTS, CHCH2Cl2, rt: (b) (1) Me3SiCCLi, BF3.OEt2, THF, −78° C.; (2) MOMCl, I-Pr2NEt, Cl(CH2)2Cl, 55° C.; (3) PPTS, MeOH, rt; (c) (1) (COCl)2, DMSO, CH2Cl2, −78° C.; then Et3N, −78° C.→rt; (2) MeMgBr, Et2O, 0° C.→rt, (3) TRAP, NMO, 4 Å mol. sieves, CH2Cl2, 0° C.→rt,; (d) 16, n-BuLi, THF, −78° C.; then 15, THF, −78° C.→rt; (e) (1) N-iodosuccinimide, AgNO3, (CH3)2CO; (2) Cy2BH, Et2O, AcOH; (f) (1) PhSH, BF3.OEt2, CH2Cl2, rt; (2) Ac2O, pyridine, 4-DMAP, CH2Cl2, rt.

FIG. 4(B) presents synthesis of compound 1. (a) 11, 9-BBN, THF, rt; then PdCl2(dppf)2, Cs2CO3, Ph3As, H2O, DMF, 19, rt, 71%; (b) p-TsOH, dioxane/H2O, 50° C.; (c) KHMDS, THF, −78° C., 51%; (d) (1) HF-pyridine, pyridine, THF, rt, 97%; (2) t-BuMe2 SiOTf, 2,6-lutidine, CH2Cl2, −25° C., 93%; (3) Dess-Martin periodinane, CH2Cl2, 87%; (4) HF-pyridine, THF, rt, 99%; (e) dimethyidioxirane, CH2Cl2, 0.5 h, −50° C., 45% (≧20: 1).

FIG. 5 shows a scheme of the synthesis of the “left wing” of epothilone A.

FIGS. 6(A) and 6(B) provide a scheme of an olefin metathesis route to epothilone A and other analogues.

FIG. 7 illustrates a convergent strategy for a total synthesis of epothilone A (1) and the glycal cyclopropane solvolysis strategy for the introduction of geminal methyl groups.

FIG. 8 provides an enantioselective synthesis of compound 15B.

FIG. 9 shows the construction of epothilone model systems 20B, 21B, and 22B by ring-closing olefin metathesis.

FIG. 10 illustrates a sedimentation test for natural, synthetic and desoxyepothilone A.

FIG. 11 illustrates a sedimentation test for natural, synthetic and desoxyepothilone A after cold treatment at 4° C.

FIG. 12 illustrates (A) structures of epothilones A (1) and B (2) and (B) of Taxol™ (1A).

FIG. 13 shows a method of elaborating acyclic stereochemical relationships based on ghydropyrone matrices.

FIGS. 14(A) and 14(B) show the preparation of intermediate 4A.

FIG. 15 shows an alternative enantioselective synthesis of compound 17A.

FIG. 16 provides a synthetic pathway to intermediate 13C. (a) 1. tributyl allyltin, (S)-(−)-BINOL, Ti(Oi-Pr)4, CH2Cl2, −20° C., 60%, >95% e.e.; 2. Ac2O, Et3N, DMAP, CH2Cl2, 95%; (b) 1. OsO4, NMO, acetone/H2O, 0° C.; 2. NaIO4, THF/H2O; (c) 12, THF, −20° C., Z isomer only, 25% from 10; (d) Pd(dppf)2, Cs2CO3, Ph3As, H2O, DMF, rt. 77%.

FIG. 17 provides a synthetic pathway to intermediate epothilone B (2). (a) p-TsOH, dioxane/H2O, 55° C., 71%; (b) KHMDS, THF, −78° C., 67%, α/β: 1.5:1; (c) Dess-Martin periodinane, CH2Cl2; (d) NaBH4, MeOH, 67% for two steps; (e) 1. HF-pyridine, pyridine, THF, rt, 93%; 2. TBSOTf, 2,6-lutidine, CH2Cl2, −30° C., 89%; 3. Dess-Martin periodinane, CH2Cl2, 67%; (f) HF-pyridine, THF, rt, 80%; (g) dimethyldioxirane, CH2Cl2, −50° C., 70%.

FIGS. 18(A) and 18(B) provide a synthetic pathway to a protected intermediate for 8-desmethyl deoxyepothilone A.

FIGS. 19(A), 19(B), and 19(C) provide a synthetic pathway to 8-desmethyl deoxyepothilone A and a transiodoolefin intermediate thereto.

FIG. 20(A) shows structures of epothilones A and B and 8-desmethylepothilone and FIG. 20(B) shows a synthetic pathway to intermediate TBS ester 10 used in the preparation of desmethylepothilone A. (a) (Z)-Crotyl-B[(−)-1pc]2, −78° C., Et2O, then 3 N NaOH, 30% H2O2; (b) TBSOTf, 2,6-lutidine, CH2Cl2 (74% for two steps, 87% ee); (c) O3, CH2Cl2/MeOH, −78° C., then DMS, (82%); (d) t-butyl isobutyrylacetate, NaH, BuLi, 0° C., then 6 (60%, 10:1); (e) Me4NBH(OAc)3, −10° C. (50%, 10:1 α/β) or NaBH4, MeOH, THF, 0° C., (88%, 1:1 α/β); (f) TBSOTf, 2,6-lutidine, −40° C., (88%); (g) Dess-Martin periodinane, (90%); (h) Pd(OH)2, H2, EtOH (96%); (1) DMSO, oxalyl chloride; CH2Cl2, −78° C. (78%); (0) Methyl triphenylphosphonium bromide, NaHMDS, THF, 0° C. (85%); (k) TBSOTf, 2,6-lutidine, CH2Cl2, rt (87%).

FIG. 21 shows a synthetic pathway to 8-desmethyiepothilone A. (a) Pd(dppf)2Cl2, Ph3As, CS2CO, H2O, DMF, rt (62%); (b) K2CO3, MeOH, H2O (78%); (c) DCC, 4-DMAP, 4-DMAP.HCl, CHCl3 (78%); (d) HF.pyr, THF, rt (82%), (e) 3,3-dimethyl dioxirane, CH2Cl2, −35° C. (72%, 1.5:1).

FIGS. 22(A), 22(B) and 22(C) show a synthetic pathway to prepare epothilone analogue 27D.

FIGS. 23(A), 23(B) and 23(C) show a synthetic pathway to prepare epothilone analogue 24D.

FIGS. 24(A) and 24(B) show a synthetic pathway to prepare epothilone analogue 19D.

FIGS. 25(A), 25(B), 25(C) and 25(D) show a synthetic pathway to prepare epothilone analogue 20D.

FIGS. 26(A), 26(B), 26(C) and 26(D) show a synthetic pathway to prepare epothilone analogue 22D.

FIGS. 27(A), 27(B) and 27(C) show a synthetic pathway to prepare epothilone analogue 12-hydroxy ethyl epothilone.

FIGS. 28(A) and 28(B) show the activity of epothilone analogues in a sedimentation test in comparison with DMSO, epothilone A and/or B. Structures 17-20, 22, and 24-27 are shown in FIGS. 29-37, respectively. Compounds were added to tubulin (1 mg/ml) to a concentration of 10 μM. The quantity of microtubules formed with epothi lone A was defined as 100%.

FIG. 29 shows a high resolution 1H NMR spectrum of epothilone analogue #17.

FIG. 30 shows a high resolution 1H NMR spectrum of epothilone analogue #18.

FIG. 31 shows a high resolution 1H NMR spectrum of epothilone analogue #19.

FIG. 32 shows a high resolution 1H NMR spectrum of epothilone analogue #20.

FIG. 33 shows a high resolution 1H NMR spectrum of epothilone analogue #22.

FIG. 34 shows a high resolution 1H NMR spectrum of epothilone analogue #24.

FIG. 35 shows a high resolution 1H NMR spectrum of epothilone analogue #25.

FIG. 36 shows a high resolution 1H NMR spectrum of epothilone analogue #26.

FIG. 37 shows a high resolution 1H NMR spectrum of epothilone analogue #27.

FIG. 38 provides a graphical representation of the effect of fractional combinations of cytotoxic agents.

FIGS. 39(A) and 39(B) show epothilone A and epothilone analogues #1-7. Potencies against human leukemia CCRF-CEM (sensitive) and CCRF-CEM/VBL MDR (resistant) sublines are shown in round and square brackets, respectively.

FIGS. 40(A) and 40(B) show epothilone B and epothilone analogues #8-16. Potencies against human leukemia CCRF-CEM (sensitive) and CCRF-CEM/VBL MDR (resistant) sublines are shown in round and square brackets, respectively.

FIGS. 41(A) and 41(B) show epothilone analogues #17-25. Potencies against human leukemia CCRF-CEM (sensitive) and CCRF-CEM/VBL MDR (resistant) sublines are shown in round and square brackets, respectively.

    • FIGS. 42(A) and 42(B) show epothilone analogues #26-34. Potencies against human leukemia CCRF-CEM (sensitive) and CCRF-CEMIVBL MDR (resistant) sublines are shown in round and square brackets, respectively.

FIGS. 42(C) and 42(D) show epothilone analogues #35-46. Potencies against human leukemia CCRF-CEM (sensitive) and CCRF-CEMNVBL MDR (resistant) sublines are shown in round and square brackets, respectively.

FIGS. 42(E) shows epothilone analogues #47-49.

FIG. 43(A) shows antitumor activity of desoxyepothilone B against MDR MCF-7/Adr xenograft in comparison with taxol. Control (♦); desoxyepothilone B (▪; 35 mg/kg); taxol (▴; 6 mg/kg); adriamycin (X;1.8 mg/kg); i.p. Q2Dx5; start on day 8.

FIG. 43(B) shows antitumor activity of epothilone B against MDR MCF-7/Adr xenograft in comparison with taxol. Control (♦); epothilone B (▪; 25 mg/kg; non-toxic dose); taxol (▴; 6 mg/kg; half LD50); adriamycin (X;1.8 mg/kg); i.p. Q2Dx5; start on day 8.

FIG. 44(A) shows toxicity of desoxyepothilone B in B6D2F, mice bearing B16 melanoma. Body weight was determined at 0, 2, 4, 6, 8, 10 and 12 days. Control (▴); desoxyepothilone B (o; 10 mg/kg QDx8; 0 of 8 died); desoxyepothilone B (●; 20 mg/kg QDx6; 0 of 8 died). Injections were started on day 1.

FIG. 44(B) shows toxicity of epothilone B in B6D2F, mice bearing B16 melanoma. Body weight was determined at 0, 2, 4, 6, 8, 10 and 12 days. Control (▴); epothilone B (o; 0.4 mg/kg QDx6; 1 of 8 died of toxicity); epothilone B (●; 0.8 mg/kg QDx5; 5 of 8 died). Injections were started on day 1.

FIG. 45(A) shows comparative therapeutic effect of desoxyepothilone B and taxol on nude mice bearing MX-1 xenoplant. Tumor, s.c; drug administered i.p., Q2Dx5, start on day 7. control (♦); Taxol (□; 5 mglkg, one half of LD50); desoxyepothilone B (Δ; 25 mg/kg; nontoxic dose).

FIG. 45(B) shows comparative therapeutic effect of desoxyepothilone B and taxol on nude mice bearing MX-1 xenoplant. Tumor, s.c.; drug administered i.p., Q2Dx5, start on day 7. control (♦); Taxol (□; 5 mg/kg, one half of LD50, given on days 7, 9, 11, 13, 15; then 6 mg/kg, given on days 17, 19, 23, 24, 25); desoxyepothilone B (n-3; Δ, x, *; 25 mg/kg, nontoxic dose, given to three mice on days 7, 9, 11, 13, 15; then 35 mg/kg, given on days 17, 19, 23, 24, 25).

FIG. 46 shows the effect of treatment with desoxyepothi lone B (35 mg/kg), taxol (5 mg/kg) and adriamycin (2 mg/kg) of nude mice bearing human MX-1 xenograft on tumor size between 8 and 18 days after implantation. Desoxyepothilone B (▪), taxol (Δ), adriamycin (X), control (♦); i.p. treatments were given on day 8, 10, 12, 14 and 16.

FIG. 47 shows the relative toxicity of epothilone B (□; 0.6 mg/kg QDx4; i.p.) and desoxyepothilone B (Δ; 25 mg/kg QDx4; i.p.) versus control (♦) in normal nude mice. Body weight of mice was determined daily after injection. For epothilone B, 8 of 8 mice died of toxicity on days 5, 6, 6, 7, 7, 7, 7, and 7; for desoxyepothilone B, all six mice survived.

FIG. 48 shows a high resolution 1H NMR spectrum of epothilone analogue #43.

FIG. 49 shows a high resolution 1H NMR spectrum of epothilone analogue #45.

FIG. 50 shows a high resolution 1H NMR spectrum of epothilone analogue #46.

FIG. 51 shows a high resolution 1H NMR spectrum of epothilone analogue #47.

FIG. 52 shows a high resolution 1H NMR spectrum of epothilone analogue #48.

As used herein, the term “linear or branched chain alkyld” encompasses, but is not limited to, methyl, ethyl, propyl, isopropyl, t-butyl, sec-butyl, cyclopentyl or cyclohexyl. The alkyl group may contain one carbon atom or as many as fourteen carbon atoms, but preferably contains one carbon atom or as many as nine carbon atoms, and may be substituted by various groups, which include, but are not limited to, acyl, aryl, alkoxy, aryloxy, carboxy, hydroxy, carboxamido and/or N-acylamino moieties.

As used herein, the terms “alkoxycarbonyl”, “acyl” and “alkoxy” encompass, but are not limited to, methoxycarbonyl, ethoxycarbonyl, propoxycarbonyl, n-butoxycarbonyl, benzyloxycarbonyl, hydroxypropylcarbonyl, aminoethoxycarbonyl, sec-butoxycarbonyl and cyclopentyloxycarbonyl. Examples of acyl groups include, but are not limited to, formyl, acetyl, propionyl, butyryl and penanoyl. Examples of alkoxy groups include, but are not limited to, methoxy, ethoxy, propoxy, n-butoxy, sec-butoxy and cyclopentyloxy.

As used herein, an “aryl” encompasses, but is not limited to, a phenyl, pyridyl, pyrryl, indolyl, naphthyl, thiophenyl or furyl group, each of which may be substituted by various groups, which include, but are not limited, acyl, aryl alkoxy, aryloxy, carboxy, hydroxy, carboxamido or N-acylamino moieties. Examples of aryloxy groups include, but are not limited to, a phenoxy, 2-methylphenoxy, 3-methylphenoxy and 2-naphthoxy. Examples of acyloxy groups include, but are not limited to, acetoxy, propanoyloxy, butyryloxy, pentanoyloxy and hexanoyloxy.

The subject invention provides chemotherapeutic analogues of epothilone A and B, including a compound having the structure: ##STR00001##
wherein R, R0, and R′ are independently H, linear or branched chain alkyl, optionally substituted by hydroxy, alkoxy, fluorine, NR1R2, N-hydroximino, or N-alkoxyimino, wherein R1 and R2 are independently H, phenyl, benzyl, linear or branched chain alkyl; wherein R″ is —CHY═CHX, or H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; and wherein X is H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; wherein Y is H or linear or branched chain alkyl; wherein Z is O, N(OR3) or N—NR4R5, wherein R3, R4 and R5 are independently H or a linear or branched alkyl; and wherein n is 0, 1, 2, or 3. In one embodiment, the invention provides the compound having the structure: ##STR00002##
wherein R is H, methyl, ethyl, n-propyl, n-butyl, n-hexyl, CH2OH, or (CH2)3OH.

The invention also provides a compound having the structure: ##STR00003##
wherein R, R0, and R′ are independently H, linear or branched chain alkyl, optionally substituted by hydroxy, alkoxy, fluorine, NR1R2, N-hydroximino, or N-alkoxyimino, wherein R1 and R2 are independently H, phenyl, benzyl, linear or branched chain alkyl; wherein R″ is —OTY═CHX, or H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; and wherein X is H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6indolyl; wherein Y is H or linear or branched chain alkyl; wherein Z is O, N(OR3) or N—NR4R5 wherein R3, R4 and R5 are independently H or a linear or branched chain alkyl; and wherein n is 0, 1, 2, or 3. In a certain embodiment, the invention provides a compound having the structure: ##STR00004##
wherein R is H, methyl, ethyl, n-propyl, n-butyl, n-hexyl or CH2OH.

In addition, the invention provides a compound having the structure: ##STR00005##
wherein R, R0, and R′ are independently H, linear or branched chain alkyl, optionally substituted by hydroxy, alkoxy, fluorine, NR1R2, N-hydroximino, or N-alkoxyimino, wherein R1 and R2 are independently H, phenyl, benzyl, linear or branched chain alkyl; wherein R″ is -CHY═CHX, or H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; and wherein X is H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; wherein Y is H or linear or branched chain alkyl; wherein Z is O, N(OR3) or N—NR4R5, wherein R3, R4 and R5 are independently H or a linear or branched chain alkyl; and wherein n is 0, 1, 2, or 3. In particular, the invention provides a compound having the structure: ##STR00006##
wherein R is H, methyl, ethyl, n-propyl, n-butyl, CH2OH or (CH2)3OH.

The invention further provides a compound having the structure: ##STR00007##
wherein R, R5 and R′ are independently H, linear or branched chain alkyl, optionally substituted by hydroxy, alkoxy, fluorine, NR1R2, N-hydroximino or N-alkoxyimino, wherein R1 and R2 are independently H, phenyl, benzyl, linear or branched chain alkyl; wherein R″ is —CHY═CHX, or H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; and wherein X is H, linear or branched chain alkyl, phenyl, 2-methyl-1,3-thiazolinyl, 2-furanyl, 3-furanyl, 4-furanyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, imidazolyl, 2-methyl-1,3-oxazolinyl, 3-indolyl or 6-indolyl; wherein Y is H or linear or branched chain alkyl; wherein Z is O, N(OR3) or N—NR4R5, wherein R3, R4 and R5 are independently H or a linear or branched chain alkyl; and wherein n is 0, 1, 2 or 3.

The invention also provides a compound having the structure: ##STR00008##

The subject invention also provides various intermediates useful for the preparation of the chemotherapeutic compounds epithilone A and B, as well as analogues thereof. Accordingly, the invention provides a key intermediate to epothilone A and its analogues having the structure: ##STR00009##
wherein R is hydrogen, a linear or branched acyl, substituted or unsubstituted aroyl or benzoyl; wherein R′ is hydrogen, methyl, ethyl, n-propyl, n-hexyl, ##STR00010##
CH2OTBS or (CH2)3-OTBDPS; and X is a halide. In one embodiment, the subject invention provides a compound of the above structure wherein R is acetyl and X is iodo.

The subject invention also provides an intermediate having the structure: ##STR00011##
wherein R′ and R″ are independently hydrogen, a linear or branched alkyl, substituted or unsubstituted aryl or benzyl, trialkylsilyl, dialkylarylsilyl, alkyldiarylsilyl, a linear or branched acyl, substituted or unsubstituted aroyl or benzoyl; wherein X is oxygen, (OR)2, (SR)2, —(O—(CH2)n—O)—, —(O—(CH2)n—S)— or —(S—(CH2)n—S)—; and wherein n is 2, 3 or 4. ##STR00012##
wherein R is H or methyl.

Another analogue provided by the invention has the structure: ##STR00013##
wherein R is H, methyl, ethyl, n-propyl, n-butyl, n-hexyl, CH2OH,

For CCRF-CEM/VBL, the relative potency ordering is:
Desoxy Epothilone A≧Epothilone A>>Taxol>Triol Analog>Model System I

For CCRF-CEM/VM, the relative potency ordering is:
Taxol=Epothilone A>Desoxy Epothilone A>>Model System I>Triol Analog

It is concluded that CCRF-CEM/VM cells are collaterally sensitive to certain epothilone compounds.

TABLE 3
Relative Efficacy of Epothilone Compounds Against
The DC-3F Hamster Lung Cell Growth and Against
DC-3F MDR Sublines Resistant Actinomylin D
IC50 in μM
COMPOUNDS DC-3F DC-3F/ADH DC-3F/ADX
EPOTHILONE A 0.00368 0.01241 0.0533
NATURAL
EPOTHILONE A 0.00354 0.0132 0.070
SYNTHETIC
MODEL SYSTEM I [3] 9.52 3.004 0.972
TRIOL ANALOG [2] 10.32 4.60 4.814
DESOXY 0.01061 0.0198 0.042
EPOTHILONE [1]
TAXOL 0.09469 3.205 31.98
VINBLASTINE 0.00265 0.0789 1.074
VP-16 (Etoposide) 0.03386 0.632 12.06
ACTINOMYCIN-D 0.000058 0.0082 0.486
(0.005816 nm)

Concerning Table 3, experiments were carried out using the cell lines DC-3F (parent hamster lung cells), DC-3F/ADII (moderate multidrug-resistant (MDR) cells) and DC-3F/ADX (very strong MDR cells).

The relative potency of the compounds are as follows:
DC-3F: Actinomycin D>Vinblastine≧Epothilone A (0.0036 μM)>Desoxy epothilone>VP-16>Taxol (0.09 μM)>Model system I and triol analog
DC-3F/ADX: Desoxyepothilone≧Epothilone A (0.06 μM)>Actinomycin D>Model system I>Vinblastine>triol analog>viablastine>taxol (32.0 μM)
DC-3F/ADX cells (8379-fold resistant to actinomycin D) are >338 fold (ca. 8379 fold) resistant to Taxol, VP-16, Vinblastine and Actinomycin D but <20 fold resistant to epothilone compounds.

In general, these results are similar to those for CCRF-CEM cells.

TABLE 4
Three Drug Combination Analysis
(Based on the Mutually Exclusive Assumption -
Classical Isobologram Method)
Drug A: EPOTHILONE B
(#8) (μM)
Drug B: TAXOL (μM)
Drug C: VINBLASTINE
(μM)
Conditions: CCRF-CEM, 3 DRUG COMBINATION,
RATIO (A:B:C: 1:5:1); EPOTHILONE +
TAXOL + VINBLASTINE; EXPOSURE
TIME 72 HRS; XTT ASSAY.
Combination Index* Values at:
Dm
(IC50) Parameters
Drug ED50 ED75 ED90 ED95 (μM) m r
A −00061 1.71561 .98327
B −00109 2.14723 .98845
C −00061 1.76186 .9919
A + 1.51545 1.38631 1.27199 1.20162 −00146 2.41547 .97168
B
B + 1.43243 1.33032 1.23834 1.18091  .00138 2.35755 .95695
C
A + .74395 .68314 .62734 .59204  .00045 2.0098 .96232
C
A + 1.37365 1.32001 1.27285 1.24412  .00122 2.11202 .93639
B +
C
VBL → microtubule depolymerization
Taxol → microtubule
polymerization
Epo-B → microtubule
polymerization
Epothilone B and Taxol have a similar mechanism of action
(polymerization) but Epothilone B synergizes VBL whereas Taxol
antagonizes VBL.
Taxol + VBL → Antagonism
EpoB + Taxol → Antagonism
EpoB + VBL → Synergism
EpoB + Taxol + VBL → Antagonism
*Combination index values <1, =1, and >1 indicate synergism, additive effect, and antagonism, respectively.

TABLE 5
Relative cytotoxicity of epothilone compounds in vitro.
IC50 in μM
Compounds CCRF-CEM CCRF-CEM/VLB CCRF-CEM/VM-1
VINBLASTINE **** 0.0008 0.44 0.00049
0.0006 (0.00063 ± 0.221 (0.332 ± 0.00039 (0.00041 ±
0.0005 0.00008) 0.336 0.063 (52.7X)§ 0.00036 0.00004) (0.7X)
VP-16 0.259 6.02 35.05
0.323 (0.293 ± 9.20 (10.33 ± 42.24 (34.39 ±
0.296 0.019) 15.76 2.87) (35.3X) 25.89 4.73) (117.4X)
TAXOL *** 0.0021 4.14 0.0066
#17 * 0.090 0.254
#18 1157.6 >>1
#19 0.959 >>1
#20 * 0.030 0.049
#21
#22 * 0.098 0.146
#23
#24 *** 0.0078 0.053
#25 * 0.021 0.077
#26 * 0.055 0.197
#27 **** 0.0010 0.0072
Epothilone A (Syn) *** 0.0021 0.015
Epothilone B (Syn) **** 0.00042 0.0017
*Number of asterisks denotes relative potency.
§Number in parentheses indicates relative resistance (fold) when compared with parent cell line.

TABLE 6
Relative potency of epothilone compounds in vitro.
IC50 in μM
Compounds CCRF-CEM CCRF-CEM/VBL CCRF-CEM/VM-1
Desoxy Epo. A 1 * 0.022 0.012 0.013
2 14.23 6.28 43.93
3 271.7 22.38 11.59
4 2.119 43.01 2.76
5 >20 35.19 98.04
Trans-A 6 0.052 0.035 0.111
7 7.36 9.82 9.65
Syn-Epo.-B 8 **** 0.00082 0.0029 0.0044
Natural B 9 **** 0.00044 0.0026 0.0018
Desoxy Epo. B 10 *** 0.0095 0.017 0.014
Trans. Epo. B 11 * 0.090 0.262 0.094
12 0.794 >5 >5
13 11.53 5.63 14.46
8-desmethyl 14 5.42 5.75 6.29
desoxy-Epo
8-desmethyl 15 0.96 5.95 2.55
Mix-cis Epo
8-desmethyl 15 0.439 2.47 0.764
β-Epo
8-demethyl 16 7.47 16.48 0.967
α-Epo
EPOTHILONE A *** 0.0024 (0.0027 ± 0.0211 (0.020 ± 0.006 (0.00613 ±
(Natural) 0.0031 0.0003) 0.0189 0.001) (7.4X) 0.00625 0.0001) (2.3X)
EPOTHILONE B **** 0.00017 0.0017 (7.0X) 0.00077
(Natural)
EPOTHILONE B
(Synthetic) 0.00055 0.0031 (0.00213 ± 0.0018 (0.00126 ±
EPOTHILONE B (0.00035 ± 0.00055) 0.0003)
(Synthetic, larger 0.0003)
quantity synthesis) 0.0021 (6.1X) 0.0012 (3.6X)
(25.9 mg) 0.00033

TABLE 7
Relative cytotoxicity of epothilone compounds in vitro.
IC50
CEM CEM/VBL
epothilone A 0.0029 μM 0.0203 μM
desoxyepothilone 0.022 0.012
 2 14.2 6.28
 3 271.7 22.4
 4 2.1 43.8
 5 >20 35.2
 6 0.052 0.035
 7 7.4 9.8
synthetic epothilone B 0.00082 0.00293
natural epothilone B 0.00044 0.00263
desoxyepothilone B 0.0095 0.0169
11 0.090 0.262
12 0.794 >5
13 11.53 5.63
14 5.42 5.75
15 0.439 2.47
16 7.47 16.48
17 0.090 0.254
18 1157.6 >>1
19 0.959 >>1
20 0.030 0.049
21 Not Available
22 0.098 0.146
23 Not Available
24 0.0078 0.053
25 0.0212 0.077
26 0.0545 0.197
27 0.0010 0.0072

TABLE 8
Chemotherapeutic Effect of Epothilone B, Taxol & Vinblastine in
CB-17 Scid Mice Bearing Human CCRF-CEM and CCRF-CEM/VBL Xenograft1
Average weight change Average tumor volume
Tumor Drug2 Dose Day 0 Day 7 Day 12 Day 17 Day 22 Day 7 Day 12 Day 17 Day 22
CCRF-CEM 0 24.4 +0.2 +0.4 +0.1 +0.5 1.03 1.00 1.00 1.00
Epo B 0.74 24.7 −0.1 −0.7 −1.4 +0.3 1.0 0.53 0.48 0.46
1.05 25.0 +0.1 −1.5 −2.4 +0.1 1.0 0.46 0.35 0.43
Taxol 2.0 25.1 −0.1 −1.1 −1.5 −0.3 1.0 0.39 0.29 0.28
4.0 25.1 −0.2 −1.7 −1.9 −0.3 1.0 0.37 0.23 0.19
VBL 0.2 25.9 +0.2 −0.8 −1.5 −0.3 1.0 0.45 0.25 0.29
0.4 25.0 −0.1 −1.4 −1.8 −0.7 1.0 0.31 0.27 0.30
CCRF-CEM/ 0 26.3 −0.3 +0.1 −0.3 +0.4 1.0 1.00 1.00 1.00
VBL EpoB 0.7 25.8 +0.1 −0.7 −1.0 −0.2 1.0 0.32 0.40 0.33
1.08 26.0 −0.2 −1.3 −2.1 −0.5 1.0 0.41 0.27 0.31
Taxol 2.0 26.1 0 −0.9 −1.5 −0.1 1.0 0.60 0.58 0.70
4.0 26.0 0 −1.4 −1.6 −0.9 1.0 0.79 0.55 0.41
VBL 0.2 25.9 −0.3 −0.8 −1.4 −0.3 1.0 0.86 0.66 0.67
0.4 25.9 0 −1.2 −1.8 −0.5 1.0 1.02 0.57 0.62
1CCRF-CEM and CCRF-CEM/VBL tumor tissue 50 ul/mouse implanted S.C. on day 0, Treatments i.p., QD on day 7, 8, 9, 10, 14 and 15. There were seven CB-17 scid male mice in each dose group and control.
2Epo B, epothilone B; VBL, vinblastine.
3The tumor volumes for each group on day 7 was about 1 mm3. The average volumes of CCRF-CEM control group on day 12, 17 and 22 were 19, 76 and 171 mm3, and of CCRF-CEM/VBL control group were 35, 107 and 278 mm3, respectively.
4Two mice died of drug toxicity on day 19 & 20.
5Three mice died of drug toxicity on day 18, 19 and 21.
6One mouse died of drug toxicity on day 17.

In summary, epothilones and taxol have similar modes of action by stabilizing polymerization of microtubules. However, epothilones and taxol have distinct novel chemical structures.

MDR cells are 1500-fold more resistant to taxol (CCRF-CEM/VBL cells), epothilone A showed only 8-fold resistance and epothilone B showed only 5-fold resistance. For CCRF-CEM cells, Epo B is 6-fold more potent than Epo A and 10-fold more potent than Taxol. Desoxyepothilone B and compd #24 are only 3-4-fold less potent than Taxol and compound #27 is >2-fold more potent than Taxol. Finally, Taxol and vinblastine showed antagonism against CCRF-CEM tumor cells, whereas the combination of Epo B+vinblastine showed synergism.

Relative Cytotoxicity of Epothilones against Human Leukemic Cells in Vitro is in the order as follows:

CCRF-CEM Leukemic Cells

Epo B (IC50=0.00035 μM; Rel. Value=1)>VBL (0.00063;1/1.8)>#27(0.0010;1/2.9)>Taxol (0.0021; 1/6)>Epo A (0.0027; 1/7.7)>#24(0.0078; 1/22.3)>#10 (0.0095; 1/27.1)>#25 (0.021; 1/60)>#1 (0.022; 1/62.8)>#20 (0.030; 1/85.7)>#6 (0.052; 1/149)>#26 0.055; 1/157)>#17 (0.090; 1/257)>VP-16 (0.29; 1/8.29)>#15 (0.44; 1/1257)>#(0.96; 1/2943)

CCRF-CEM/VBL MDR Leukemic Cells

Epo B (0.0021; 1/6* [1]**)>#27 (0.0072; 1/20.6)>#1 (0.012; 1/34.3)>#10 (0.017; 1/48.6)>Epo A (0.020; 1/57.1 [1/9.5])>#6 (0.035)>#20 (0.049)>#24 (0.053)x#25 (0.077)>#22 (0.146)>#26 (0.197)>#17 (0.254)>#11 (0.262)>VBL (0.332; 1/948.6 [1/158.1])>Taxol (4.14; 1/11828 [1/1971.4])>VP-16 (10.33; 1/29514 [1/4919]) *Potency in parentheses is relative to Epo B in CCRF-CEM cells. **Potency in square brackets is relative to Epo B in CCRF-CEM/VBL MDR cells.

As shown in Table 9, treatment of MX-1 xenograft-bearing nude mice with desoxyepothilone B (35 mg/kg, 0/10 lethality), taxol (5 mg/kg, 2/10 lethality; 10 mg/kg, 2/6 lethality) and adriamycin (2 mg/kg, 1/10 lethality; 3 mg/kg, 4/6 lethality) every other day, i.p. beginning day 8 for 5 doses resulted in a far better therapeutic effect for desoxyepothilone B at 35 mg/kg than for taxol at 5 mg/kg and adrimycin at 2 mg/kg with tumor volume reduction of 98%, 53% and 28%, respectively. For the desoxyepothilone B-treated group, 3 out of 10 mice were found with tumor non-detectable on day 18. (See FIG. 46)

Extended treatment with desoxyepothilone B (40 mg/kg, i.p.) beginning day 18 every other day for 5 more doses resulted in 5 out of 10 mice with tumor disappearing on day 28 (or day 31). See Table 10. By contrast, the extended treatment with taxol at 5 mg/kg for five more doses resulted in continued tumor growth at a moderate rate, and 2 out of 10 mice died of toxicity.

Toxicity studies with daily i.p. doses of desoxyepothilone B (25 mg/kg, a very effective therapeutic dose as indicated in earlier experiments) for 4 days to six mice resulted in no reduction in average body weight. (Table 13; FIG. 47) By contrast, epothilone B (0.6 mg/kg, i.p.) for 4 days to eight mice resulted in 33% reduction in average body weight; all eight mice died of toxicity between day 5 and day 7.

TABLE 9
Therapeutic Effect of Desoxyepothilone B, Taxol, and Adriamycin in Nude Mice Bearing Human MX-1 Xenografta
Average Body Weight Change Average Tumor Volume Tumor
Dose (g) (T/C) Disappear-
Drug (mg/kg) Day 8 10 12 14 16 18 Day 10 12 14 16 18 Died ance
Control 0 24.6 −0.1 +1.0 +1.0 +1.3 +1.8 1.00 1.00 1.00 1.00 1.00 0/10 0/10
Desoxyepothilone B 35  23.0 −0.1 +0.7 −0.3 −1.7 −1.6 0.42 0.28 0.07 0.04 0.02 0/10 3/10
Taxol 5 24.0 −1.3 −0.8 −1.4 −1.9 −1.8 0.58 0.36 0.34 0.42 0.47 2/10 0/10
10  24.3 −1.0 −1.0 −2.3 −3.5 −3.8 0.85 0.40 0.21 0.20 0.12 2/6  1/6 
Adriamycin 2b 23.9 +0.3 0 −1.4 −1.9 −2.0 0.94 0.88 1.05 0.69 0.72 1/10 0/10
  3c 22.4 +1.3 −0.2 −1.5 −2.1 −2.3 0.72 0.54 0.56 0.51 0.36 4/6  0/6 
aMX-1 tissue 100 μl/mouse was implanted s.c on day 0. Every other day i.p. treatments were given on day 8, 10, 12, 14 and 16. The average tumor volume of control group on day 10, 12, 14, 16 and 18 were 78, 151, 372, 739 and 1257 mm3, respectively.
bOne mouse died of toxicity on day 22.
cFour mice died of toxicity on day 24.

TABLE 10
Extended Experiment of Desoxyepothilone B, Taxol, Cisplatin and Cyclophophamide in Nude Mice Bearing Human MX-1 Xenografta
Average Body Weight Change Average Tumor
Dose (g) Tumor Disappearance Disappearance #
Drug (mg/kg) Day 8 20 22 24 26 28 Day 20 22 24 26 28 Duration (Day) Died
Desoxyepo B 40 23.0 −1.7 −2.4 −2.4 −1.4 −1.2 2/10b 2/10 3/10 5/10 5/10 44(5/10) 0/10
Taxol 5 24.0 −1.6 −0.3 +0.1 −0.6 −0.4 0/10 0/10 0/10 0/10 0/10 2/10
10 No extended test 1/6 on day 16 Reappear on day 38 2/6 
aExtended experiment was carried out after 5 times injection (on day 8, 10, 12, 14 and 16). Every other day i.p. treatments were given continuously; Desoxyepothilone B and Taxol on day 18, 20, 22, 24 and 26; control group mice were sacrificed.
bOne of the mice tumor reappeared on day 20.

TABLE 11
Toxicity of Epothilone B and
Desoxyepothilone B in normal nude mice.
Dose and Number Dis-
Schedule of appear-
Group (mg/kg) mice Died ance Duration
Control 4 0
Epothilone Ba 0.6 QD × 4 8 8
Desoxyepothilone B  25 QD × 4 6 0
aMice died of toxicity on day 5, 6, 6, 7, 7, 7, 7, 7

TABLE 12
Therapeutic Effect of Epothilone B, Desoxyepothilone B and Taxol in B6D2F, Mice Bearing B16 Melanomaa
Average Weight Change Average Tumor Volume
Dose (g) (T/C) # Mice
Drug (mg/kg) Day 0 3 5 7 9 11 Day 5 7 9 11 Died
Control 0 26.5 −0.2 0 −0.2 0 +1.0 1.00 1.00 1.00 1.00  0/15
Epothilone B 0.4 QD × 6b 27.1 −0.2 −0.6 −1.1 −3.4 −3.9 1.08 1.07 1.27 1.07 1/8
0.8 QD × 5c 27.0 0 −0.8 −3.1 −4.7 −4.7 0.57 0.89 0.46 0.21 5/8
Desoxyepothilone B 10 QD × 8 27.0 −0.7 −0.9 −1.1 −1.5 −0.3 0.23 0.22 0.51 0.28 0/6
20 QD1-4,7-8 26.9 −1.3 −2.2 −1.3 −1.6 −0.8 0.59 0.63 0.58 0.33 0/6
Taxol 4 QD × 8 26.7 +0.1 +0.2 +0.3 +0.4 +0.8 0.62 0.39 0.56 0.51 0/8
6.5 QD × 8 26.7 +0.1 +0.3 +0.3 +0.4 +1.7 0.19 0.43 0.20 0.54 0/8
aB16 melanoma cell 1.2 × 106/mouse was implanted S.C. on day 0. Daily treatments start on day 1 after inoculation. Number of mice in each group: Control, 15; Epothilone B, 8; Desoxythilone B, 5 and Taxol, 8. The average tumor volume of control group on day 5, 7, 9 and 11 were 16, 138, 436 and 1207 mm3, respectively. See FIGS. 44(a) and (b).
bOne mouse died of toxicity on day 10.
cFive mice died of toxicity on day 8, 10, 10, 11, 12. One moribund mouse was sacrificed for toxicological examinations on day 11.

TABLE 13
Therapeutic Effect of Desoxyepothilone B,
Epothilone B, Taxol, and Vinblastine in Nude Mice Bearing Human MX-1 Xenografta
Average Body Weight Change Average Tumor Volume
Dose (g) (T/C)
Drug (mg/kg) Day 7 11 13 15 17 Day 11 13 15 17 Note
Control 27.9 +0.8 +1.1 +1.9 +0.6 1.00 1.00 1.00 1.00 0/8 died
Desoxyepothilone B 15   27.1 +0.8 +1.1 +1.6 +1.5 0.65 0.46 0.49 0.41 0/6 died
25b  27.0 +0.4 +0.7 +1.0 +0.7 0.38 0.11 0.05 0.04 0/6 died
(1/6 cured on day 35)
Epothilone B 0.3 26.9 +0.5 +0.4 −0.3 −1.2 1.00 0.71 0.71 0.84 0/7 died
  0.6c 27.4 −0.3 −1.3 −2.1 −2.1 1.08 0.73 0.81 0.74 3/7 died
Taxol 5   26.9 −0.1 +0.4 +1.1 +1.2 0.54 0.46 0.40 0.45 0/7 died
10d  27.6 −2.7 −1.1 −0.3 +2.2 0.43 0.37 0.12 0.11 4/7 died
Vinblastine 0.2 25.7 +0.6 +1.4 +2.3 +2.9 0.65 0.54 0.56 0.88 0/7 died
  0.4c 26.4 +0.8 +0.5 +1.9 +2.1 0.80 0.56 0.83 0.88 1/7 died
aMX-1 tissue 50 μl/mouse was implanted s.c. on day 0. Every other day i.p. treatments were given on day 7, 9, 11, 13 and 15. Number of mice in each group: Control, 8; Desoxyepothilone B, 6; Epothilone B, 7; Taxol, 7 and Vinblastine, 7. The average tumor volume of control group on day 11, 13, 15 and 17 were 386, 915, 1390 and 1903 mm3, respectively See FIG. 45.
bOne out of six mice with no detectable tumor on day 35.
cThree mice died of drug toxicity on day 17. Every other day i.p. treatments were given except day 15.
dFour mice died of drug toxicity on day 13, 13, 13, 15.
eOne mouse died of toxicity on day 15.

TABLE 14
Toxicity of Hematology and
Chemistry of Desoxyepothilone B, and Taxol in Nude Mice Bearing Human MX-1 Xenografta
Hematologyb
WBC Chemistryb
Dose Total Neutrophils Lymph RBC PLT GOT GPT
Drug (mg/kg ip) (103/mm3) (%) (%) (103/mm3) (103/mm3) (U/L) (U/L)
Control 12.9 38 61 8.1  800 (n = 4) 203 45 (n = 4)
Desoxyepo- 25 and 35c 11.8 48 48 8.4  700 (n = 6) 296 55 (n = 3)
thilone B
Taxol 5 and 6d 10.9 51 48 6.1 1083 (n = 5) 438 79 (n = 5)
Normal rangee 6.91˜12.9 8.25˜40.8 62˜90 10.2˜12.0 190˜340 260 138.7
aMinced MX-1 tumor tissue 50 μl/mouse was implanted s.c. on day 0.
bAll assays were determined on day 30; averaged values were given.
cDesoxyepothilone B 25 mg/kg was given i.p. on day 7, 9, 11, 13, 15; 35 mg/kg on day 17, 19, 23, 24, 25.
dTaxol 5 mg/kg was given i.p. on day 7, 9, 11, 13, 15; 6 mg/kg on day 17, 19, 23, 24, 25.
eNormal ranges are for wild type deer mice and C3/Hej mice (obtained from clinical, biochemical and hematological Reference values in Normal Experimental Animals, Brtjm Mitruka, ed., Masson Publishing USA, Inc., N.Y., 1977, and from Clinical Chemistry of Laboratory Animals, Weter F. Loeb, ed., Pergamon Press, 1989)

TABLE 15
Therapeutic Effect of Desoxyepothilone B, Taxol, Adriamycin, and Camptothecin in Nude Mice
Bearing MDR Human MCF-7/Adr Tumor.
Average Body Weight Change Average Tumor Volume
Dose (g) (T/C)
Drug (mg/kg) Day 8 11 13 15 17 Day 11 13 15 17 Died
Control 0 25.0 +2.0 +2.6 +3.1 +3.7 1.00 1.00 1.00 1.00 0/8
DesoxyEpoB 35 25.0 +0.3 +0.7 +0.6 +0.8 0.31 0.27 0.30 0.34 0/8
Taxol 6 25.3 +1.7 +1.8 +0.8 +0.9 0.57 0.66 0.85 0.90 0/8
12 24.5 +0.7 −1.3 −2.4 0 0.50 0.51 0.32 0.40 3/6
Adriamycin 1.8 25.6 +0.2 −0.4 −0.6 −0.4 0.70 0.68 0.84 0.78 0/8
3 24.6 +0.5 −1.5 −3.2 −1.6 0.66 0.83 0.57 0.53 3/6
Camptothecin 1.5 24.4 +1.1 +0.9 +1.7 +1.4 1.08 0.72 0.61 0.72 0/8
3.0 24.5 −0.6 −0.4 −0.8 −0.9 0.95 0.76 0.61 0.43 0/6
MCF-7/Adr cell 3 × 106/mouse was implanted s.c. on day 0. Every other day i.p. treatments were given on day 8, 10, 12, 14 and 16.
The average tumor volume of control group on day 11, 13, 15 and 17 were 392, 919, 1499 and 2372 mm3, respectively.

As evident from Table 15, desoxyepothilone B performs significantly better than taxol, vinblastine, adriamycin and camptothecin against MDR tumor xenografts (human mammary adeoncarcinoma MCF-7/Adr xenografts). This drug-resistant tumor grows very aggressively and is refractory to taxol and adriamycin at half their lethal doses. Taxol at 6 mg/kg i.p. Q2Dx5 reduced tumor size only 10% while adriamycin resulted in only a 22% reduction on day 17. Whereas, desoxyepothilone B at 35 mg/kg reduced tumor size by 66% on day 17 and yet showed no reduction in body weight or apparent toxicity. Even at the LD50 dosage for taxol (12 mg/kg) or adriamycin (3 mg/kg), desoxyepothilone B still performed more effectively. By comparison, camptothecin at 1.5 and 3.0 mg/kg reduced tumor size by 28% and 57%, respectively. Overall, in comparison with the four important anticancer drugs in current use, i.e., taxol, adriamycin, vinblastine and camptothecin, desoxyepothilone B showed superior chemotherapeutic effect against MDR xenografts.

TABLE 16
Extended Experiment of Desoxyepothilone B, Taxol in Nude Mice Bearing Human MX-1 Xenografta
Average Body Weight Change Average Tumor
Dose (g) Tumor Disappearance Disappear
Drug (mg/kg) Day 8 20 22 24 26 28 Day 20 22 24 26 28 Duration (Day) Died
Desoxyepo B 40 23.0 −1.7 −2.4 −2.4 −1.4 −1.2 2.10b 2/10 3/10 5/10 5/10 44(5/10) 0/10 
Taxol 5 24.0 −1.6 −0.3 +0.1 −0.6 −0.4 0/10 0/10 0/10 0/10 0/10 2/10 
10 No Extended Test 1/6 on day 16 Reappear on day 2/6(0/6)
38
aExtended experiment was going on after 5 times injection (on day 8, 10, 12, 14 and 16). Every other day i.p. treatments were given continuously; Desoxyepothilone B and Taxol on day 18, 20, 22, 24 and 26; Control group mice were sacrificed.
bIn one of the mice, a tumor reappeared on day 20.

As evident form Table 16, extended treatment of nude mice bearing human MX-1 xenographs were desoxyepothilone B results in complete tumor disappearance, with no mortality in any test animals. In conclusion, treatment with desoxyepothilone B shows remarkable specificity with respect to tumor toxicity, but very low normal cell toxicity.

TABLE 17
Therapeutic Effects of Desoxyepothilone B, Taxol in Nude Mice Bearing Human MX-1 Xenograft.
Treatment Schedule # Died of toxicity
Control
Day
8 10 12 14 16 18 20
Tumor Size 19 ± 2 78 ± 8 151 ± 15 372 ± 55 739 ± 123 1257 ± 184 1991 ± 331 Sacrificed (n = 10) 0/10
(mm3)
DESOXYEPOTHILONE B
Dose Schedule
35 mg/kg on day 40 mg/kg on day No Treatment
Day
8 10 12 14 16 18 20 22 24 26 28 30 45 47 50 60
Tumor Size
Mouse 1 15 15 40 40 15 32 30 30 30 30 0 0 0 24  S* 0/10
Mouse 2 23 23 15 15 15 15 30 48 48 0 30 48 900 1200 S
Mouse 3 15 60 90 105 105 126 96 150 180 0 48 64 600 600 S
Mouse 4 21 38 38 0 0 10 8 8 8 8 0 0 0 0 0 0
Mouse 5 12 23 50 12 0 4 0 0 0 0 0 0 0 0 0 0
Mouse 6 15 40 32 8 8 8 8 12 12 12 12 30 120 120 S
Mouse 7 21 30 15 15 8 8 8 8 8 8 8 8 180 280 S
Mouse 8 20 48 70 15 15 8 8 0 0 0 0 0 0 8 S
Mouse 9 25 50 40 15 8 0 0 0 0 0 0 0 0 0 4 4
Mouse 10 20 38 38 38 38 25 25 25 0 0 15 15 100 100 S
TAXOL
Dose Schedule
5 mg/kg on day 5 mg/kg on day
Day
8 10 12 14 16 18 20 22 24 26 28 30 45 47 50 60
Tumor Size 17 ± 45 ± 54 128 ± 311 ± 596 ± 1114 ± 1930 ± 2285 ± S ± (n = 10) 2/10
2 7 13 42 115 151 346 569 597
Extended studies → Extended observations → Experiment ended
*S: Sacrificed due to tumor burden

TABLE 18
Toxicity of Epothilone B and Desoxyepothilone B in normal nude mice
Dose and Schedule
Group (mg/kg) Number of mice Died
Control 4 0
Epothilone Ba 0.6 QD × 4 8 8
Desoxyepothilone B  25 QD × 4 6 0
aMice died of toxicity on day 5, 6, 6, 7, 7, 7, 7, 7

Su, Dai-Shi, Chou, Ting-Chao, Danishefsky, Samuel J., Meng, Dongfang, Bertinato, Peter, Kamenecka, Ted, Balog, Aaron, Savin, Kenneth A., Sorensen, Erik J.

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//
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Jan 04 2007Sloan-Kettering Institute for Cancer Research(assignment on the face of the patent)
Sep 10 2012SLOAN-KETTERING INSTITUTE FOR CANCER RESNATIONAL INSTITUTES OF HEALTH NIH , U S DEPT OF HEALTH AND HUMAN SERVICES DHHS , U S GOVERNMENTCONFIRMATORY LICENSE SEE DOCUMENT FOR DETAILS 0290690605 pdf
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