[EN] USE OF SUBSTITUTED 2,3-DIHYDROIMIDAZO[1,2-C]QUINAZOLINES FOR TREATING LYMPHOMAS<br/>[FR] UTILISATION DE 2,3-DIHYDROIMIDAZO[1,2-C]QUINAZOLINES SUBSTITUÉES POUR LE TRAITEMENT DE LYMPHOMES
申请人:BAYER PHARMA AKTIENGESLLSCHAFT
公开号:WO2014166820A1
公开(公告)日:2014-10-16
- use of a 2,3-dihydroimidazo[l,2-c]quinazoline compound, or of a pharmaceutical composition containing same, as a sole active agent, or of a combination of a) said compound or a pharmaceutical composition containing said compound and b) one or more fu rther active agents, for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin's lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin's lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL); - combinations of a) said compound and b) one or more further active agents; - a pharmaceutical composition comprising said compound as a sole active agent for the treatment of non-Hodgkin's lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin's lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL); - a pharmaceutical composition comprising a combination of a) said compound and b) one or more further active agents; - use of biomarkers involved in the modification of the expression of PI3K isoforms, BTK and IKK,, BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2, for predicting the sensitivity and/or resistance of a cancer patient to said compound and providing a rationale-based synergistic combination as defined herein to increase sensitivity and/or to overcome resistance; and - a method of determining the level of a component of one or more of the expression of PI3K isoforms, BTK and IKK„ BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2.
使用2,3-二氢咪唑[1,2-c]喹唑啉化合物或含有该化合物的药物组合物作为唯一活性剂,或使用a)该化合物或含有该化合物的药物组合物和b)一个或多个其他活性剂的组合,用于制备用于治疗或预防非霍奇金淋巴瘤(NHL)的药物,特别是一线、二线、复发、难治、慢性或侵袭性非霍奇金淋巴瘤(NHL),特别是滤泡性淋巴瘤(FL)、慢性淋巴细胞白血病(CLL)、边缘区淋巴瘤(MZL)、弥漫性大B细胞淋巴瘤(DLBCL)、曼托细胞淋巴瘤(MCL)、转化淋巴瘤(TL)或外周T细胞淋巴瘤(PTCL);a)该化合物和b)一个或多个其他活性剂的组合;仅包含该化合物作为唯一活性剂的药物组合物,用于治疗非霍奇金淋巴瘤(NHL),特别是一线、二线、复发、难治、慢性或侵袭性非霍奇金淋巴瘤(NHL),特别是滤泡性淋巴瘤(FL)、慢性淋巴细胞白血病(CLL)、边缘区淋巴瘤(MZL)、弥漫性大B细胞淋巴瘤(DLBCL)、曼托细胞淋巴瘤(MCL)、转化淋巴瘤(TL)或外周T细胞淋巴瘤(PTCL);仅包含a)该化合物和b)一个或多个其他活性剂的药物组合物;使用涉及PI3K亚型、BTK和IKK、BCR激活、BCR下游NFKB通路激活、c-Myc、EZH2表达修饰的生物标志物,预测癌症患者对该化合物的敏感性和/或耐药性,并提供基于理性的协同组合,以增加敏感性和/或克服耐药性;以及确定PI3K亚型、BTK和IKK、BCR激活、BCR下游NFKB通路激活、c-Myc、EZH2表达的一个或多个组分水平的方法。