申请人:Berdini Valerio
公开号:US20100004232A1
公开(公告)日:2010-01-07
The use of a compound for the manufacture of a medicament for the prophylaxis or treatment of: A. a disease state or condition mediated by a kinase which is BCR-abl, VEGFR, PDGFR, EGFR, Flt3, JAK (e.g. JAK2 or JAK3), C-abl, PDK1, Chk (e.g. Cbk1 or Chk2), FGFR (e.g. FGFR3), Ret, Eph (e.g. EphB2 or EphB4), or Src (e.g. cSrc); or B. a cancer in which the cancer cells thereof contain a drug resistant kinase mutation which is: (a) a threonine gatekeeper mutation; or (b) a drug-resistant gatekeeper mutation; or (c) an imatinib resistant mutation; or (d) a nilotinib resistant mutation; or (e) a dasatinib resistant mutation; or (f) a T670I mutation in KIT; or (g) a T674I mutation in PDGFR; or (h) T790M mutation in EGFR; or (i) a T315I mutation in abl; or C. a cancer which expresses a mutated molecular target which is a mutated form of BCRabl, c-kit, PDGF, EGF receptor or ErbB2; or D. a disease mediated by a kinase containing a mutation in a region of the protein that binds to or interacts with other cancer agents but does not bind to or interact with the compounds of formula (I) or (I′), for example a mutated kinase selected from c-abl, c-kit, PDGFR including PDGFR-beta and PDGFR-alpha, and ErbB family members such as EGFR (ErbB1), HER2 (ErbB2), ErbB3, and ErbB4, members of the Ephrin receptor family including EphA1, EphA2, EphA3, EphA4, EphA5, EphA8, EphA10, EphB1, EphB2, EphB3, EphB5, EphB6, c-Src and kinases of the JAK family such as TYK2; wherein the compound is a compound of the formula (I or I′): or a salt, solvate, tautomer or N-oxide thereof wherein R
0′
, R
1
, R
1′
, R
2′
, R
3′
, R
4′
, A′, X′, E, A and M are as defined in the claims.
使用该化合物制造药物,用于预防或治疗以下疾病状态或条件:A. 由激酶介导的疾病状态或条件,其中激酶是BCR-abl、VEGFR、PDGFR、EGFR、Flt3、JAK(例如JAK2或JAK3)、C-abl、PDK1、Chk(例如Cbk1或Chk2)、FGFR(例如FGFR3)、Ret、Eph(例如EphB2或EphB4)或Src(例如cSrc);或B. 癌症,其癌细胞含有耐药激酶突变,该耐药激酶突变是:(a)苏氨酸门卫突变;或(b)耐药门卫突变;或(c)伊马替尼耐药突变;或(d)尼洛替尼耐药突变;或(e)达沙替尼耐药突变;或(f)KIT中的T670I突变;或(g)PDGFR中的T674I突变;或(h)EGFR中的T790M突变;或(i)abl中的T315I突变;或C. 表达突变分子靶点的癌症,该突变分子靶点是BCRabl、c-kit、PDGF、EGF受体或ErbB2的突变形式;或D. 由激酶介导的疾病,其中激酶在与其他癌症药物结合或相互作用的蛋白质区域中具有突变,但不与式(I)或(I')化合物结合或相互作用,例如选择自c-abl、c-kit、PDGFR(包括PDGFR-beta和PDGFR-alpha)和ErbB家族成员,如EGFR(ErbB1)、HER2(ErbB2)、ErbB3和ErbB4,包括Ephrin受体家族成员,如EphA1、EphA2、EphA3、EphA4、EphA5、EphA8、EphA10、EphB1、EphB2、EphB3、EphB5、EphB6、c-Src和JAK家族的激酶;其中该化合物是式(I或I')的化合物:或其盐、溶剂合物、互变异构体或N-氧化物,其中R0'、R1、R1'、R2'、R3'、R4'、A'、X'、E、A和M如权利要求所定义。