Novel compositions of nucleotide analog prodrugs for the treatment of viral infections and cancer are herein disclosed. The prodrugs have a biocompatible polymeric carrier conjugated to the nucleotide analog via an amino-phosphate linkage. The amino group is provided by the carrier, which either inherently possesses a primary amine, or is modified with reactive groups that incorporate the primary amine onto the carrier. The carrier can be a polyamino acid, a polyvinylic polymer, a polysaccharide or combinations thereof, such as polylysine, HPMA, dextran, hydroxyethyl starch, or polyethylene glycol; the nucleotide analog can be ribavirin araA, AZT, acyclovir, 5-FUDR, araC or ddI. Methods of treating a viral infection of cancer using these prodrugs are also disclosed. The prodrugs endow the nucleotide analogs with substantially enhanced therapeutic efficacy and reduces toxicity in comparison to the nucleotide analog alone.
本文披露了用于治疗病毒感染和癌症的新型核苷酸类似物前药的组合物。这些前药具有
生物相容性聚合物载体,通过
氨基
磷酸酯键与核苷酸类似物结合。
氨基基团由载体提供,它可以天然具有一次胺基,或者被修饰以将一次胺基合并到载体上。载体可以是多聚
氨基酸、多
乙烯基聚合物、
多糖或其组合物,例如聚赖
氨酸、H
PMA、
右旋糖、
羟乙基淀粉或聚
乙二醇;核苷酸类似物可以是
利巴韦林、阿拉A、AZT、
阿昔洛韦、5-FUDR、阿拉C或ddI。本文还披露了使用这些前药治疗病毒感染或癌症的方法。这些前药使核苷酸类似物具有显著增强的治疗效果,并减少与核苷酸类似物单独使用时的毒性。