申请人:GLAXOSMITHKLINE INTELLECTUAL PROPERTY DEVELOPMENT LIMITED
公开号:US10294236B2
公开(公告)日:2019-05-21
This invention relates to novel compounds which are inhibitors of the Rearranged during Transfection (RET) kinase, to pharmaceutical compositions containing them, to processes for their preparation, and to their use in therapy, alone or in combination, for the normalization of gastrointestinal sensitivity, motility and/or secretion and/or abdominal disorders or diseases and/or treatment related to diseases related to RET dysfunction or where modulation of RET activity may have therapeutic benefit including but not limited to all classifications of irritable bowel syndrome (IBS) including diarrhea-predominant, constipation-predominant or alternating stool pattern, functional bloating, functional constipation, functional diarrhea, unspecified functional bowel disorder, functional abdominal pain syndrome, chronic idiopathic constipation, functional esophageal disorders, functional gastroduodenal disorders, functional anorectal pain, inflammatory bowel disease, proliferative diseases such as non-small cell lung cancer, hepatocellular carcinoma, colorectal cancer, medullary thyroid cancer, follicular thyroid cancer, anaplastic thyroid cancer, papillary thyroid cancer, brain tumors, peritoneal cavity cancer, solid tumors, other lung cancer, head and neck cancer, gliomas, neuroblastomas, Von Hippel-Lindau Syndrome and kidney tumors, breast cancer, fallopian tube cancer, ovarian cancer, transitional cell cancer, prostate cancer, cancer of the esophagus and gastroesophageal junction, biliary cancer, adenocarcinoma, and any malignancy with increased RET kinase activity.
本发明涉及作为转染过程中重排(RET)激酶抑制剂的新型化合物、含有这些化合物的药物组合物、制备这些化合物的工艺,以及这些化合物在治疗中的用途(单独使用或联合使用),用于使胃肠道敏感性正常化、肠易激综合征(IBS)的所有分类,包括腹泻为主、便秘为主或交替大便模式、功能性腹胀、功能性便秘、功能性腹泻、不明功能性肠紊乱、功能性腹痛综合征、慢性特发性便秘、功能性食道疾病、功能性胃十二指肠疾病、功能性肛门直肠痛、炎症性肠病、增殖性疾病,如非小细胞肺癌、肝细胞癌、结肠直肠癌、甲状腺髓样细胞癌、滤泡性甲状腺癌、无细胞甲状腺癌、甲状腺乳头状癌、脑肿瘤、腹腔癌、实体瘤、其他肺癌、头颈部肿瘤、胶质瘤、神经母细胞瘤、冯-希佩尔-林道综合征和肾肿瘤、乳腺癌、输卵管癌、卵巢癌、过渡性细胞癌、前列腺癌、食道癌和胃食道交界处癌、胆道癌、腺癌以及任何 RET 激酶活性增高的恶性肿瘤。